Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.62 / $131.83 / $371.54	Facility	26	$77.62	$131.83	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $446.68 / $1,445.44	Professional		$269.15	$446.68	$1,445.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $123.03 / $234.42	Professional	26	$70.79	$123.03	$234.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $323.59 / $630.96	Professional	TC	$199.53	$323.59	$630.96
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $77.62 / $77.62 / $77.62	Facility	26	$77.62	$77.62	$77.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $407.38 / $831.76	Professional		$263.03	$407.38	$831.76
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $91.20 / $169.82	Professional	26	$66.07	$91.20	$169.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $309.03 / $691.83	Professional	TC	$199.53	$309.03	$691.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $91.20 / $218.78	Facility	26	$16.98	$91.20	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $501.19 / $891.25	Professional		$257.04	$501.19	$891.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $100.00 / $194.98	Professional	26	$56.23	$100.00	$194.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $371.54 / $707.95	Professional	TC	$194.98	$371.54	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $398.11 / $741.31	Professional		$263.03	$398.11	$741.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $77.62 / $151.36	Professional	26	$60.26	$77.62	$151.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $309.03 / $588.84	Professional	TC	$194.98	$309.03	$588.84