Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $130.30 / $130.30 / $130.30	Facility	26	$130.30	$130.30	$130.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $745.59 / $1,090.84 / $1,145.39	Professional		$745.59	$1,090.84	$1,145.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.62 / $130.30 / $136.81	Professional	26	$91.62	$130.30	$136.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $653.74 / $960.55 / $1,008.57	Professional	TC	$653.74	$960.55	$1,008.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $599.82 / $856.89 / $942.58	Professional		$599.82	$856.89	$942.58
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.66 / $100.94 / $111.03	Professional	26	$70.66	$100.94	$111.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $529.16 / $755.95 / $831.55	Professional	TC	$529.16	$755.95	$831.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $826.69 / $1,142.74 / $1,534.72	Professional		$826.69	$1,142.74	$1,534.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.38 / $141.02 / $177.15	Professional	26	$97.38	$141.02	$177.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $729.31 / $1,001.72 / $1,357.57	Professional	TC	$729.31	$1,001.72	$1,357.57
United Facility/Professional Professional Modifier Low / Median / High Price $668.96 / $856.89 / $1,254.34	Professional		$668.96	$856.89	$1,254.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $76.40 / $100.94 / $139.19	Professional	26	$76.40	$100.94	$139.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $595.69 / $755.95 / $1,293.30	Professional	TC	$595.69	$755.95	$1,293.30