Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.17 / $74.91 / $140.02	Facility	26	$65.17	$74.91	$140.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.64 / $472.35 / $725.20	Professional		$400.64	$472.35	$725.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.64 / $69.43 / $145.76	Professional	26	$59.64	$69.43	$145.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $341.32 / $399.56 / $622.12	Professional	TC	$341.32	$399.56	$622.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $412.42 / $557.42 / $922.04	Professional		$412.42	$557.42	$922.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.44 / $81.60 / $137.22	Professional	26	$63.44	$81.60	$137.22
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $354.41 / $481.39 / $791.87	Professional	TC	$354.41	$481.39	$791.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.76 / $76.76 / $76.76	Facility	26	$76.76	$76.76	$76.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $485.47 / $691.48 / $1,139.29	Professional		$485.47	$691.48	$1,139.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.16 / $97.22 / $163.57	Professional	26	$69.16	$97.22	$163.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $416.29 / $591.89 / $970.62	Professional	TC	$416.29	$591.89	$970.62
United Facility/Professional Professional Modifier Low / Median / High Price $430.70 / $543.70 / $1,006.53	Professional		$430.70	$543.70	$1,006.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.54 / $83.25 / $145.60	Professional	26	$62.54	$83.25	$145.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $369.03 / $471.49 / $846.61	Professional	TC	$369.03	$471.49	$846.61