Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $173.78 / $173.78 / $173.78	Facility	26	$173.78	$173.78	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $954.99 / $1,584.89	Professional		$645.65	$954.99	$1,584.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $575.44 / $851.14 / $1,445.44	Professional	TC	$575.44	$851.14	$1,445.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $933.25 / $1,096.48	Professional		$645.65	$933.25	$1,096.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $588.84 / $831.76 / $977.24	Professional	TC	$588.84	$831.76	$977.24
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.20 / $112.20 / $112.20	Facility	26	$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $851.14 / $1,819.70	Professional		$724.44	$851.14	$1,819.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $616.60 / $758.58 / $1,621.81	Professional	TC	$616.60	$758.58	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $741.31 / $1,071.52	Professional		$316.23	$741.31	$1,071.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $645.65 / $912.01	Professional	TC	$263.03	$645.65	$912.01