Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $95.50 / $158.49 / $416.87	Facility	26	$95.50	$158.49	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $501.19 / $1,445.44	Professional		$338.84	$501.19	$1,445.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $141.25 / $323.59	Professional	26	$85.11	$141.25	$323.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $346.74 / $794.33	Professional	TC	$257.04	$346.74	$794.33
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 $338.84 / $512.86 / $1,000.00	Professional		$338.84	$512.86	$1,000.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $112.20 / $204.17	Professional	26	$81.28	$112.20	$204.17
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $398.11 / $812.83	Professional	TC	$263.03	$398.11	$812.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $109.65 / $269.15	Facility	26	$20.89	$109.65	$269.15
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 $69.18 / $123.03 / $239.88	Professional	26	$69.18	$123.03	$239.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $457.09 / $851.14	Professional	TC	$251.19	$457.09	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $467.74 / $870.96	Professional		$323.59	$467.74	$870.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $95.50 / $181.97	Professional	26	$70.79	$95.50	$181.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $371.54 / $691.83	Professional	TC	$245.47	$371.54	$691.83