Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $92.11 / $92.11 / $93.74	Facility	26	$92.11	$92.11	$93.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.28 / $776.28 / $899.41	Professional		$776.28	$776.28	$899.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $92.11 / $92.11 / $98.82	Professional	26	$92.11	$92.11	$98.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $684.17 / $684.17 / $800.58	Professional	TC	$684.17	$684.17	$800.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,164.00 / $2,164.00 / $3,555.00	Professional		$2,164.00	$2,164.00	$3,555.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $246.00 / $246.00 / $404.00	Professional	26	$246.00	$246.00	$404.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $1,918.00 / $1,918.00 / $3,151.00	Professional	TC	$1,918.00	$1,918.00	$3,151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,232.65 / $1,232.65 / $2,430.94	Professional		$1,232.65	$1,232.65	$2,430.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $135.71 / $135.71 / $267.73	Professional	26	$135.71	$135.71	$267.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $1,096.94 / $1,096.94 / $2,163.21	Professional	TC	$1,096.94	$1,096.94	$2,163.21
United Facility/Professional Professional Modifier Low / Median / High Price $766.12 / $1,641.76 / $2,912.79	Professional		$766.12	$1,641.76	$2,912.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.90 / $179.80 / $319.00	Professional	26	$83.90	$179.80	$319.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $682.22 / $1,536.06 / $2,593.79	Professional	TC	$682.22	$1,536.06	$2,593.79