Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $411.57 / $533.97 / $976.42	Facility	26	$411.57	$533.97	$976.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,664.03 / $2,114.63 / $5,135.68	Professional		$1,664.03	$2,114.63	$5,135.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $347.37 / $436.76 / $1,104.27	Professional	26	$347.37	$436.76	$1,104.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $1,292.05 / $1,726.05 / $2,778.71	Professional	TC	$1,292.05	$1,726.05	$2,778.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,710.05 / $2,241.98 / $3,691.74	Professional		$1,710.05	$2,241.98	$3,691.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $408.30 / $510.30 / $820.43	Professional	26	$408.30	$510.30	$820.43
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $1,321.75 / $1,827.51 / $2,911.61	Professional	TC	$1,321.75	$1,827.51	$2,911.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $477.29 / $477.29 / $477.29	Facility	26	$477.29	$477.29	$477.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,697.51 / $2,610.42 / $4,240.26	Professional		$1,697.51	$2,610.42	$4,240.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $397.74 / $565.53 / $960.10	Professional	26	$397.74	$565.53	$960.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $1,333.34 / $2,028.76 / $3,397.69	Professional	TC	$1,333.34	$2,028.76	$3,397.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,747.29 / $2,436.50 / $3,897.17	Professional		$1,747.29	$2,436.50	$3,897.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $391.16 / $519.25 / $865.42	Professional	26	$391.16	$519.25	$865.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $1,346.59 / $1,971.44 / $3,349.08	Professional	TC	$1,346.59	$1,971.44	$3,349.08