Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.48 / $110.86 / $212.01	Facility	26	$87.48	$110.86	$212.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.54 / $392.89 / $688.48	Professional		$255.54	$392.89	$688.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.92 / $96.89 / $289.08	Professional	26	$79.92	$96.89	$289.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $168.84 / $309.93 / $508.96	Professional	TC	$168.84	$309.93	$508.96
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $96.54 / $96.54 / $96.54	Facility	26	$96.54	$96.54	$96.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $273.45 / $351.27 / $785.64	Professional		$273.45	$351.27	$785.64
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $80.41 / $107.66 / $191.03	Professional	26	$80.41	$107.66	$191.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.00 / $266.49 / $597.71	Professional	TC	$190.00	$266.49	$597.71
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.41 / $98.41 / $98.41	Facility	26	$98.41	$98.41	$98.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.89 / $503.05 / $858.00	Professional		$280.89	$503.05	$858.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.70 / $122.74 / $212.79	Professional	26	$76.70	$122.74	$212.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $196.91 / $384.03 / $661.89	Professional	TC	$196.91	$384.03	$661.89
United Facility/Professional Professional Modifier Low / Median / High Price $269.52 / $433.23 / $742.10	Professional		$269.52	$433.23	$742.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $80.78 / $106.84 / $187.45	Professional	26	$80.78	$106.84	$187.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $183.65 / $319.19 / $562.54	Professional	TC	$183.65	$319.19	$562.54