Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $537.03 / $851.14	Professional		$371.54	$537.03	$851.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $158.49 / $281.84	Professional	26	$95.50	$158.49	$281.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $426.58 / $616.60	Professional	TC	$269.15	$426.58	$616.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,548.82 / $1,548.82	Professional		$1,000.00	$1,548.82	$1,548.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $263.03 / $407.38 / $407.38	Professional	26	$263.03	$407.38	$407.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $724.44 / $1,122.02 / $1,122.02	Professional	TC	$724.44	$1,122.02	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $758.58 / $1,445.44	Professional		$512.86	$758.58	$1,445.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $190.55 / $389.05	Professional	26	$120.23	$190.55	$389.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $407.38 / $549.54 / $1,047.13	Professional	TC	$407.38	$549.54	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $758.58 / $1,819.70	Professional		$478.63	$758.58	$1,819.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $199.53 / $338.84	Professional	26	$89.13	$199.53	$338.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $389.05 / $562.34 / $1,479.11	Professional	TC	$389.05	$562.34	$1,479.11