Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $169.82 / $416.87	Facility	26	$89.13	$169.82	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $446.68 / $1,000.00	Professional		$281.84	$446.68	$1,000.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $141.25 / $309.03	Professional	26	$85.11	$141.25	$309.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $309.03 / $602.56	Professional	TC	$194.98	$309.03	$602.56
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 $275.42 / $457.09 / $977.24	Professional		$275.42	$457.09	$977.24
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $117.49 / $213.80	Professional	26	$83.18	$117.49	$213.80
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $331.13 / $794.33	Professional	TC	$199.53	$331.13	$794.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $112.20 / $269.15	Facility	26	$20.89	$112.20	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $549.54 / $1,023.29	Professional		$269.15	$549.54	$1,023.29
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 $190.55 / $380.19 / $812.83	Professional	TC	$190.55	$380.19	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $446.68 / $851.14	Professional		$269.15	$446.68	$851.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $97.72 / $190.55	Professional	26	$74.13	$97.72	$190.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $323.59 / $676.08	Professional	TC	$194.98	$323.59	$676.08