Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $288.40 / $380.19 / $616.60	Facility	26	$288.40	$380.19	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,202.26 / $2,511.89	Professional		$977.24	$1,202.26	$2,511.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $269.15 / $389.05 / $1,148.15	Professional	26	$269.15	$389.05	$1,148.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $676.08 / $851.14 / $1,513.56	Professional	TC	$676.08	$851.14	$1,513.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,548.82 / $3,162.28	Professional		$891.25	$1,548.82	$3,162.28
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $281.84 / $436.52 / $851.14	Professional	26	$281.84	$436.52	$851.14
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $602.56 / $1,071.52 / $2,290.87	Professional	TC	$602.56	$1,071.52	$2,290.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $416.87 / $1,318.26	Facility	26	$70.79	$416.87	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,698.24 / $3,467.37	Professional		$1,122.02	$1,698.24	$3,467.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $323.59 / $501.19 / $954.99	Professional	26	$323.59	$501.19	$954.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $794.33 / $1,230.27 / $2,570.40	Professional	TC	$794.33	$1,230.27	$2,570.40
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,412.54 / $2,570.40	Professional		$977.24	$1,412.54	$2,570.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $275.42 / $416.87 / $724.44	Professional	26	$275.42	$416.87	$724.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $691.83 / $977.24 / $1,819.70	Professional	TC	$691.83	$977.24	$1,819.70