Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $111.43 / $151.65 / $279.18	Facility	26	$111.43	$151.65	$279.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $357.53 / $475.00 / $1,133.43	Professional		$357.53	$475.00	$1,133.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.00 / $150.25 / $425.49	Professional	26	$104.00	$150.25	$425.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $251.74 / $335.00 / $751.84	Professional	TC	$251.74	$335.00	$751.84
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $120.08 / $120.08 / $120.08	Facility	26	$120.08	$120.08	$120.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $361.62 / $541.17 / $1,030.15	Professional		$361.62	$541.17	$1,030.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $98.39 / $129.73 / $230.60	Professional	26	$98.39	$129.73	$230.60
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $261.61 / $405.19 / $890.12	Professional	TC	$261.61	$405.19	$890.12
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.86 / $118.86 / $118.86	Facility	26	$118.86	$118.86	$118.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.64 / $754.02 / $1,364.49	Professional		$356.64	$754.02	$1,364.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.20 / $148.13 / $254.91	Professional	26	$93.20	$148.13	$254.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $264.14 / $553.61 / $1,132.61	Professional	TC	$264.14	$553.61	$1,132.61
United Facility/Professional Professional Modifier Low / Median / High Price $358.50 / $620.65 / $1,224.74	Professional		$358.50	$620.65	$1,224.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $95.30 / $128.06 / $241.19	Professional	26	$95.30	$128.06	$241.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $252.64 / $451.47 / $969.96	Professional	TC	$252.64	$451.47	$969.96