Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $204.17 / $323.59 / $891.25	Facility	26	$204.17	$323.59	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $524.81 / $1,258.93	Professional		$389.05	$524.81	$1,258.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $190.55 / $323.59 / $758.58	Professional	26	$190.55	$323.59	$758.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $269.15 / $575.44	Professional	TC	$190.55	$269.15	$575.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $575.44 / $1,122.02	Professional		$426.58	$575.44	$1,122.02
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $213.80 / $275.42 / $524.81	Professional	26	$213.80	$275.42	$524.81
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $302.00 / $588.84	Professional	TC	$218.78	$302.00	$588.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $316.23 / $912.01	Facility	26	$54.95	$316.23	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $724.44 / $1,412.54	Professional		$436.52	$724.44	$1,412.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $208.93 / $338.84 / $660.69	Professional	26	$208.93	$338.84	$660.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $389.05 / $758.58	Professional	TC	$229.09	$389.05	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $602.56 / $1,071.52	Professional		$407.38	$602.56	$1,071.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $186.21 / $281.84 / $489.78	Professional	26	$186.21	$281.84	$489.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $316.23 / $575.44	Professional	TC	$213.80	$316.23	$575.44