Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.81 / $120.22 / $169.63	Facility	26	$107.81	$120.22	$169.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.74 / $400.47 / $582.26	Professional		$342.74	$400.47	$582.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.48 / $113.96 / $178.94	Professional	26	$102.48	$113.96	$178.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $238.78 / $272.81 / $384.00	Professional	TC	$238.78	$272.81	$384.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.57 / $431.51 / $698.17	Professional		$304.57	$431.51	$698.17
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $103.38 / $129.24 / $219.12	Professional	26	$103.38	$129.24	$219.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $194.70 / $303.36 / $514.78	Professional	TC	$194.70	$303.36	$514.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $142.46 / $142.46 / $142.46	Facility	26	$142.46	$142.46	$142.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.47 / $511.00 / $776.11	Professional		$338.47	$511.00	$776.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $110.56 / $164.58 / $250.24	Professional	26	$110.56	$164.58	$250.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $229.96 / $346.16 / $550.71	Professional	TC	$229.96	$346.16	$550.71
United Facility/Professional Professional Modifier Low / Median / High Price $317.11 / $442.21 / $756.92	Professional		$317.11	$442.21	$756.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $107.81 / $154.16 / $248.69	Professional	26	$107.81	$154.16	$248.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $211.07 / $301.55 / $542.83	Professional	TC	$211.07	$301.55	$542.83