Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $126.71 / $126.71 / $190.07	Facility	26	$126.71	$126.71	$190.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $620.95 / $1,072.79 / $1,072.79	Professional		$620.95	$1,072.79	$1,072.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.09 / $126.71 / $126.71	Professional	26	$67.09	$126.71	$126.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $553.86 / $946.08 / $946.08	Professional	TC	$553.86	$946.08	$946.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $727.82 / $834.86 / $1,070.33	Professional		$727.82	$834.86	$1,070.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $91.96 / $105.48 / $135.22	Professional	26	$91.96	$105.48	$135.22
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $635.86 / $729.37 / $935.09	Professional	TC	$635.86	$729.37	$935.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $787.78 / $1,282.71 / $1,361.18	Professional		$787.78	$1,282.71	$1,361.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.99 / $138.66 / $162.03	Professional	26	$93.99	$138.66	$162.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $693.79 / $1,130.08 / $1,222.53	Professional	TC	$693.79	$1,130.08	$1,222.53
United Facility/Professional Professional Modifier Low / Median / High Price $829.50 / $995.40 / $1,539.45	Professional		$829.50	$995.40	$1,539.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.06 / $114.73 / $188.20	Professional	26	$91.06	$114.73	$188.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $729.91 / $850.99 / $1,354.62	Professional	TC	$729.91	$850.99	$1,354.62