Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility	26	$1,949.84	$1,949.84	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,398.83 / $6,309.57	Professional		$1,258.93	$2,398.83	$6,309.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $281.84 / $562.34 / $1,174.90	Professional	26	$281.84	$562.34	$1,174.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $1,230.27 / $1,905.46 / $3,090.30	Professional	TC	$1,230.27	$1,905.46	$3,090.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,187.76 / $4,365.16	Professional		$1,548.82	$2,187.76	$4,365.16
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $346.74 / $489.78 / $758.58	Professional	26	$346.74	$489.78	$758.58
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $1,202.26 / $1,288.25 / $1,995.26	Professional	TC	$1,202.26	$1,288.25	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,981.07 / $5,248.07	Professional		$2,344.23	$3,981.07	$5,248.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $524.81 / $851.14 / $1,148.15	Professional	26	$524.81	$851.14	$1,148.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $1,778.28 / $3,162.28 / $4,073.80	Professional	TC	$1,778.28	$3,162.28	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,290.87 / $3,235.94	Professional		$1,288.25	$2,290.87	$3,235.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $354.81 / $512.86 / $707.95	Professional	26	$354.81	$512.86	$707.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $933.25 / $1,949.84 / $2,570.40	Professional	TC	$933.25	$1,949.84	$2,570.40