Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.13 / $114.82 / $309.03	Facility	26	$74.13	$114.82	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $426.58 / $1,230.27	Professional		$199.53	$426.58	$1,230.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $128.82 / $323.59	Professional	26	$66.07	$128.82	$323.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $251.19 / $562.34	Professional	TC	$123.03	$251.19	$562.34
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $79.43 / $79.43 / $79.43	Facility	26	$79.43	$79.43	$79.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $389.05 / $851.14	Professional		$194.98	$389.05	$851.14
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $97.72 / $177.83	Professional	26	$70.79	$97.72	$177.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $275.42 / $676.08	Professional	TC	$131.83	$275.42	$676.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $91.20 / $223.87	Facility	26	$16.98	$91.20	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $416.87 / $851.14	Professional		$186.21	$416.87	$851.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $102.33 / $204.17	Professional	26	$57.54	$102.33	$204.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $275.42 / $676.08	Professional	TC	$120.23	$275.42	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $323.59 / $691.83	Professional		$186.21	$323.59	$691.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $81.28 / $158.49	Professional	26	$61.66	$81.28	$158.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $204.17 / $537.03	Professional	TC	$123.03	$204.17	$537.03