Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $648.08 / $648.08 / $648.08	Facility	26	$648.08	$648.08	$648.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.54 / $417.25 / $808.02	Professional		$298.54	$417.25	$808.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.95 / $97.96 / $181.12	Professional	26	$70.95	$97.96	$181.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $227.58 / $302.52 / $370.09	Professional	TC	$227.58	$302.52	$370.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $461.08 / $485.35 / $875.45	Professional		$461.08	$485.35	$875.45
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $88.37 / $126.24 / $189.96	Professional	26	$88.37	$126.24	$189.96
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $251.38 / $359.11 / $685.49	Professional	TC	$251.38	$359.11	$685.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $505.58 / $918.21 / $1,185.32	Professional		$505.58	$918.21	$1,185.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $131.50 / $216.04 / $288.38	Professional	26	$131.50	$216.04	$288.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $374.08 / $702.17 / $896.94	Professional	TC	$374.08	$702.17	$896.94
United Facility/Professional Professional Modifier Low / Median / High Price $387.86 / $632.16 / $770.22	Professional		$387.86	$632.16	$770.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.85 / $153.29 / $180.34	Professional	26	$91.85	$153.29	$180.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $292.11 / $501.40 / $589.88	Professional	TC	$292.11	$501.40	$589.88