Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.88 / $100.00 / $269.15	Facility	26	$58.88	$100.00	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $467.74 / $1,288.25	Professional		$380.19	$467.74	$1,288.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $74.13 / $239.88	Professional	26	$56.23	$74.13	$239.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $316.23 / $398.11 / $794.33	Professional	TC	$316.23	$398.11	$794.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $575.44 / $1,258.93	Professional		$398.11	$575.44	$1,258.93
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $87.10 / $181.97	Professional	26	$57.54	$87.10	$181.97
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $346.74 / $489.78 / $1,071.52	Professional	TC	$346.74	$489.78	$1,071.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.22 / $93.33 / $288.40	Facility	26	$16.22	$93.33	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $707.95 / $1,318.26	Professional		$398.11	$707.95	$1,318.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $104.71 / $194.98	Professional	26	$56.23	$104.71	$194.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $346.74 / $616.60 / $1,122.02	Professional	TC	$346.74	$616.60	$1,122.02
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $1,096.48	Professional		$407.38	$549.54	$1,096.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $81.28 / $158.49	Professional	26	$58.88	$81.28	$158.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $346.74 / $467.74 / $933.25	Professional	TC	$346.74	$467.74	$933.25