Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.22 / $40.22 / $40.97	Facility	26	$40.22	$40.22	$40.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.30 / $377.30 / $428.17	Professional		$377.30	$377.30	$428.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.10 / $40.54 / $208.05	Professional	26	$40.10	$40.54	$208.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $337.07 / $337.07 / $385.13	Professional	TC	$337.07	$337.07	$385.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,041.00 / $1,041.00 / $1,710.00	Professional		$1,041.00	$1,041.00	$1,710.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $107.00 / $107.00 / $175.00	Professional	26	$107.00	$107.00	$175.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $934.00 / $934.00 / $1,535.00	Professional	TC	$934.00	$934.00	$1,535.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $606.92 / $606.92 / $1,422.41	Professional		$606.92	$606.92	$1,422.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.97 / $58.97 / $120.01	Professional	26	$58.97	$58.97	$120.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $547.95 / $547.95 / $1,302.40	Professional	TC	$547.95	$547.95	$1,302.40
United Facility/Professional Professional Modifier Low / Median / High Price $381.51 / $760.21 / $1,453.10	Professional		$381.51	$760.21	$1,453.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.88 / $76.20 / $137.49	Professional	26	$35.88	$76.20	$137.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $346.31 / $706.82 / $1,316.70	Professional	TC	$346.31	$706.82	$1,316.70