Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $619.16 / $619.16 / $861.44	Facility	26	$619.16	$619.16	$861.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $802.35 / $940.23 / $947.75	Professional		$802.35	$940.23	$947.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.96 / $101.21 / $115.03	Professional	26	$91.96	$101.21	$115.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $710.38 / $839.02 / $839.02	Professional	TC	$710.38	$839.02	$839.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $966.49 / $966.49 / $1,825.14	Professional		$966.49	$966.49	$1,825.14
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.52 / $113.60 / $196.47	Professional	26	$79.52	$113.60	$196.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $597.02 / $852.89 / $1,628.69	Professional	TC	$597.02	$852.89	$1,628.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,006.76 / $1,882.51 / $1,924.35	Professional		$1,006.76	$1,882.51	$1,924.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $118.33 / $196.18 / $207.18	Professional	26	$118.33	$196.18	$207.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $888.43 / $1,678.71 / $1,717.17	Professional	TC	$888.43	$1,678.71	$1,717.17
United Facility/Professional Professional Modifier Low / Median / High Price $700.13 / $1,048.02 / $1,600.29	Professional		$700.13	$1,048.02	$1,600.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.38 / $116.01 / $172.29	Professional	26	$75.38	$116.01	$172.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $624.75 / $786.25 / $1,428.00	Professional	TC	$624.75	$786.25	$1,428.00