Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $117.49 / $316.23	Facility	26	$83.18	$117.49	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $389.05 / $1,318.26	Professional		$245.47	$389.05	$1,318.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $93.33 / $309.03	Professional	26	$77.62	$93.33	$309.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $239.88 / $562.34	Professional	TC	$162.18	$239.88	$562.34
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $95.50 / $95.50 / $95.50	Facility	26	$95.50	$95.50	$95.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $371.54 / $831.76	Professional		$257.04	$371.54	$831.76
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $102.33 / $208.93	Professional	26	$79.43	$102.33	$208.93
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $275.42 / $630.96	Professional	TC	$190.55	$275.42	$630.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $112.20 / $275.42	Facility	26	$20.89	$112.20	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $478.63 / $912.01	Professional		$251.19	$478.63	$912.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $120.23 / $239.88	Professional	26	$70.79	$120.23	$239.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $354.81 / $691.83	Professional	TC	$177.83	$354.81	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $407.38 / $741.31	Professional		$257.04	$407.38	$741.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $100.00 / $186.21	Professional	26	$74.13	$100.00	$186.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $295.12 / $575.44	Professional	TC	$181.97	$295.12	$575.44