Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $109.65 / $109.65	Facility	26	$109.65	$109.65	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $263.03 / $549.54	Professional		$204.17	$263.03	$549.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $128.82 / $288.40	Professional	26	$107.15	$128.82	$288.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $131.83 / $257.04	Professional	TC	$97.72	$131.83	$257.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,659.59 / $1,659.59	Professional		$1,071.52	$1,659.59	$1,659.59
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $288.40 / $446.68 / $446.68	Professional	26	$288.40	$446.68	$446.68
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $776.25 / $1,202.26 / $1,202.26	Professional	TC	$776.25	$1,202.26	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $676.08 / $1,479.11	Professional		$398.11	$676.08	$1,479.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $181.97 / $346.74	Professional	26	$120.23	$181.97	$346.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $501.19 / $1,148.15	Professional	TC	$251.19	$501.19	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $851.14 / $1,445.44	Professional		$436.52	$851.14	$1,445.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $218.78 / $371.54	Professional	26	$97.72	$218.78	$371.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $338.84 / $630.96 / $1,071.52	Professional	TC	$338.84	$630.96	$1,071.52