Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.86 / $128.82 / $354.81	Facility	26	$75.86	$128.82	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $478.63 / $1,380.38	Professional		$288.40	$478.63	$1,380.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $125.89 / $295.12	Professional	26	$69.18	$125.89	$295.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $338.84 / $630.96	Professional	TC	$218.78	$338.84	$630.96
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $77.62 / $77.62 / $77.62	Facility	26	$77.62	$77.62	$77.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $467.74 / $933.25	Professional		$275.42	$467.74	$933.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $91.20 / $169.82	Professional	26	$66.07	$91.20	$169.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $371.54 / $776.25	Professional	TC	$213.80	$371.54	$776.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $89.13 / $218.78	Facility	26	$16.98	$89.13	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $575.44 / $1,071.52	Professional		$323.59	$575.44	$1,071.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $97.72 / $194.98	Professional	26	$56.23	$97.72	$194.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $467.74 / $891.25	Professional	TC	$257.04	$467.74	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $478.63 / $891.25	Professional		$338.84	$478.63	$891.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $77.62 / $151.36	Professional	26	$58.88	$77.62	$151.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $398.11 / $741.31	Professional	TC	$269.15	$398.11	$741.31