Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.40 / $127.32 / $216.02	Facility	26	$107.40	$127.32	$216.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.51 / $475.00 / $796.11	Professional		$354.51	$475.00	$796.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.51 / $140.00 / $216.02	Professional	26	$86.51	$140.00	$216.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $260.22 / $335.00 / $516.48	Professional	TC	$260.22	$335.00	$516.48
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $94.45 / $94.45 / $94.45	Facility	26	$94.45	$94.45	$94.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $352.50 / $474.20 / $943.17	Professional		$352.50	$474.20	$943.17
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $82.29 / $113.59 / $184.52	Professional	26	$82.29	$113.59	$184.52
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $264.14 / $364.27 / $759.63	Professional	TC	$264.14	$364.27	$759.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.95 / $96.95 / $96.95	Facility	26	$96.95	$96.95	$96.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.45 / $597.17 / $990.73	Professional		$339.45	$597.17	$990.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.13 / $122.34 / $209.72	Professional	26	$76.13	$122.34	$209.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $258.14 / $471.65 / $770.75	Professional	TC	$258.14	$471.65	$770.75
United Facility/Professional Professional Modifier Low / Median / High Price $341.91 / $509.91 / $874.17	Professional		$341.91	$509.91	$874.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.92 / $104.81 / $184.63	Professional	26	$77.92	$104.81	$184.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $259.66 / $395.92 / $695.44	Professional	TC	$259.66	$395.92	$695.44