Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $134.90 / $281.84 / $691.83	Facility	26	$134.90	$281.84	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $446.68 / $933.25	Professional		$316.23	$446.68	$933.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $154.88 / $371.54	Professional	26	$123.03	$154.88	$371.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $281.84 / $562.34	Professional	TC	$186.21	$281.84	$562.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $478.63 / $954.99	Professional		$281.84	$478.63	$954.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $186.21 / $363.08	Professional	26	$123.03	$186.21	$363.08
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $288.40 / $616.60	Professional	TC	$169.82	$288.40	$616.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.15 / $213.80 / $616.60	Facility	26	$37.15	$213.80	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $588.84 / $1,258.93	Professional		$371.54	$588.84	$1,258.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $141.25 / $229.09 / $436.52	Professional	26	$141.25	$229.09	$436.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $371.54 / $870.96	Professional	TC	$218.78	$371.54	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $467.74 / $891.25	Professional		$323.59	$467.74	$891.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $125.89 / $190.55 / $331.13	Professional	26	$125.89	$190.55	$331.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $281.84 / $549.54	Professional	TC	$190.55	$281.84	$549.54