Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $103.99 / $126.80 / $212.25	Facility	26	$103.99	$126.80	$212.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.62 / $425.00 / $614.16	Professional		$285.62	$425.00	$614.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.49 / $126.00 / $183.44	Professional	26	$85.49	$126.00	$183.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $200.14 / $313.52 / $433.05	Professional	TC	$200.14	$313.52	$433.05
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $94.73 / $94.73 / $94.73	Facility	26	$94.73	$94.73	$94.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $290.25 / $396.50 / $830.42	Professional		$290.25	$396.50	$830.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $82.63 / $115.19 / $194.49	Professional	26	$82.63	$115.19	$194.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $201.63 / $291.91 / $654.09	Professional	TC	$201.63	$291.91	$654.09
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.16 / $97.16 / $97.16	Facility	26	$97.16	$97.16	$97.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.22 / $581.90 / $972.39	Professional		$282.22	$581.90	$972.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.42 / $122.97 / $206.72	Professional	26	$76.42	$122.97	$206.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $194.43 / $419.82 / $786.67	Professional	TC	$194.43	$419.82	$786.67
United Facility/Professional Professional Modifier Low / Median / High Price $284.29 / $505.93 / $857.66	Professional		$284.29	$505.93	$857.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $80.20 / $107.13 / $193.47	Professional	26	$80.20	$107.13	$193.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $205.93 / $335.63 / $654.29	Professional	TC	$205.93	$335.63	$654.29