Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.70 / $107.12 / $185.49	Facility	26	$83.70	$107.12	$185.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.51 / $385.88 / $715.05	Professional		$251.51	$385.88	$715.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.65 / $91.53 / $237.61	Professional	26	$75.65	$91.53	$237.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $168.49 / $304.07 / $503.61	Professional	TC	$168.49	$304.07	$503.61
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $92.92 / $92.92 / $92.92	Facility	26	$92.92	$92.92	$92.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $273.83 / $372.80 / $770.29	Professional		$273.83	$372.80	$770.29
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.09 / $111.35 / $182.53	Professional	26	$81.09	$111.35	$182.53
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.00 / $266.50 / $594.96	Professional	TC	$190.00	$266.50	$594.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $94.56 / $94.56 / $94.56	Facility	26	$94.56	$94.56	$94.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.48 / $521.28 / $917.09	Professional		$277.48	$521.28	$917.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.31 / $115.37 / $204.66	Professional	26	$74.31	$115.37	$204.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $194.40 / $389.70 / $706.17	Professional	TC	$194.40	$389.70	$706.17
United Facility/Professional Professional Modifier Low / Median / High Price $269.89 / $448.77 / $767.98	Professional		$269.89	$448.77	$767.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $76.08 / $102.22 / $183.86	Professional	26	$76.08	$102.22	$183.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $183.67 / $353.17 / $619.85	Professional	TC	$183.67	$353.17	$619.85