Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.19 / $102.19 / $104.55	Facility	26	$102.19	$102.19	$104.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $390.24 / $427.36 / $2,264.90	Professional		$390.24	$427.36	$2,264.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.55 / $104.55 / $104.55	Professional	26	$104.55	$104.55	$104.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $288.06 / $288.06 / $321.27	Professional	TC	$288.06	$288.06	$321.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $855.00 / $1,533.00 / $1,533.00	Professional		$855.00	$1,533.00	$1,533.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $216.00 / $387.00 / $387.00	Professional	26	$216.00	$387.00	$387.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $639.00 / $1,146.00 / $1,146.00	Professional	TC	$639.00	$1,146.00	$1,146.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $605.01 / $632.51 / $1,610.90	Professional		$605.01	$632.51	$1,610.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $135.81 / $165.35 / $381.14	Professional	26	$135.81	$165.35	$381.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $467.16 / $469.20 / $1,229.76	Professional	TC	$467.16	$469.20	$1,229.76
United Facility/Professional Professional Modifier Low / Median / High Price $513.54 / $791.73 / $1,382.58	Professional		$513.54	$791.73	$1,382.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $123.39 / $181.80 / $328.05	Professional	26	$123.39	$181.80	$328.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $390.15 / $584.39 / $1,054.53	Professional	TC	$390.15	$584.39	$1,054.53