Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $95.73 / $126.00 / $198.69	Facility	26	$95.73	$126.00	$198.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.42 / $445.41 / $638.00	Professional		$280.42	$445.41	$638.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.16 / $129.09 / $198.33	Professional	26	$85.16	$129.09	$198.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $195.26 / $317.75 / $433.05	Professional	TC	$195.26	$317.75	$433.05
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $95.36 / $95.36 / $95.36	Facility	26	$95.36	$95.36	$95.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $286.83 / $389.20 / $815.57	Professional		$286.83	$389.20	$815.57
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $82.31 / $113.35 / $182.65	Professional	26	$82.31	$113.35	$182.65
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $198.52 / $286.76 / $614.41	Professional	TC	$198.52	$286.76	$614.41
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.82 / $96.82 / $96.82	Facility	26	$96.82	$96.82	$96.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.27 / $574.10 / $953.22	Professional		$277.27	$574.10	$953.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.78 / $121.25 / $205.78	Professional	26	$75.78	$121.25	$205.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $192.85 / $405.64 / $772.00	Professional	TC	$192.85	$405.64	$772.00
United Facility/Professional Professional Modifier Low / Median / High Price $281.35 / $456.54 / $863.73	Professional		$281.35	$456.54	$863.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $100.44 / $182.62	Professional	26	$77.62	$100.44	$182.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $196.90 / $337.73 / $658.44	Professional	TC	$196.90	$337.73	$658.44