Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.43 / $112.20 / $302.00	Facility	26	$79.43	$112.20	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $389.05 / $1,513.56	Professional		$245.47	$389.05	$1,513.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $97.72 / $288.40	Professional	26	$75.86	$97.72	$288.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $234.42 / $562.34	Professional	TC	$162.18	$234.42	$562.34
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $93.33 / $93.33 / $93.33	Facility	26	$93.33	$93.33	$93.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $380.19 / $831.76	Professional		$257.04	$380.19	$831.76
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $109.65 / $204.17	Professional	26	$81.28	$109.65	$204.17
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $275.42 / $645.65	Professional	TC	$190.55	$275.42	$645.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $107.15 / $263.03	Facility	26	$19.95	$107.15	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $501.19 / $954.99	Professional		$245.47	$501.19	$954.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $112.20 / $229.09	Professional	26	$66.07	$112.20	$229.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $371.54 / $776.25	Professional	TC	$177.83	$371.54	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $416.87 / $776.25	Professional		$257.04	$416.87	$776.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $93.33 / $177.83	Professional	26	$70.79	$93.33	$177.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $302.00 / $616.60	Professional	TC	$181.97	$302.00	$616.60