Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.86 / $141.25 / $389.05	Facility	26	$75.86	$141.25	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $426.58 / $1,122.02	Professional		$251.19	$426.58	$1,122.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $117.49 / $263.03	Professional	26	$70.79	$117.49	$263.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $288.40 / $575.44	Professional	TC	$181.97	$288.40	$575.44
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $64.57 / $64.57	Facility	26	$64.57	$64.57	$64.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $436.52 / $891.25	Professional		$251.19	$436.52	$891.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $81.28 / $154.88	Professional	26	$63.10	$81.28	$154.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $354.81 / $758.58	Professional	TC	$194.98	$354.81	$758.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.38 / $93.33 / $223.87	Facility	26	$17.38	$93.33	$223.87
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 $51.29 / $91.20 / $194.98	Professional	26	$51.29	$91.20	$194.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $398.11 / $794.33	Professional	TC	$177.83	$398.11	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $416.87 / $776.25	Professional		$239.88	$416.87	$776.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $75.86 / $151.36	Professional	26	$50.12	$75.86	$151.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $316.23 / $645.65	Professional	TC	$173.78	$316.23	$645.65