Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.32 / $109.32 / $111.36	Facility	26	$109.32	$109.32	$111.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.67 / $286.13 / $342.39	Professional		$203.67	$286.13	$342.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $106.37 / $116.02 / $152.66	Professional	26	$106.37	$116.02	$152.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.29 / $133.47 / $231.33	Professional	TC	$97.29	$133.47	$231.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,114.00 / $1,831.00 / $1,831.00	Professional		$1,114.00	$1,831.00	$1,831.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $289.00 / $476.00 / $476.00	Professional	26	$289.00	$476.00	$476.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $825.00 / $1,355.00 / $1,355.00	Professional	TC	$825.00	$1,355.00	$1,355.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $635.73 / $1,369.27	Professional		$400.00	$635.73	$1,369.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $119.35 / $177.29 / $314.20	Professional	26	$119.35	$177.29	$314.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $244.10 / $473.85 / $1,020.59	Professional	TC	$244.10	$473.85	$1,020.59
United Facility/Professional Professional Modifier Low / Median / High Price $439.84 / $851.82 / $1,455.12	Professional		$439.84	$851.82	$1,455.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $98.77 / $220.86 / $368.10	Professional	26	$98.77	$220.86	$368.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $341.07 / $654.86 / $1,068.60	Professional	TC	$341.07	$654.86	$1,068.60