Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.59 / $152.13 / $270.82	Facility	26	$118.59	$152.13	$270.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.63 / $475.00 / $938.86	Professional		$340.63	$475.00	$938.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.27 / $152.13 / $356.93	Professional	26	$109.27	$152.13	$356.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $237.52 / $335.00 / $622.20	Professional	TC	$237.52	$335.00	$622.20
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $121.89 / $121.89 / $121.89	Facility	26	$121.89	$121.89	$121.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.58 / $456.98 / $969.71	Professional		$338.58	$456.98	$969.71
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $105.83 / $145.33 / $240.12	Professional	26	$105.83	$145.33	$240.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $225.58 / $315.33 / $830.28	Professional	TC	$225.58	$315.33	$830.28
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $124.22 / $124.22 / $124.22	Facility	26	$124.22	$124.22	$124.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.84 / $683.85 / $1,324.43	Professional		$327.84	$683.85	$1,324.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.36 / $157.61 / $267.92	Professional	26	$97.36	$157.61	$267.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $219.86 / $469.53 / $1,120.83	Professional	TC	$219.86	$469.53	$1,120.83
United Facility/Professional Professional Modifier Low / Median / High Price $316.89 / $559.22 / $1,191.24	Professional		$316.89	$559.22	$1,191.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $100.39 / $133.38 / $235.38	Professional	26	$100.39	$133.38	$235.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $224.87 / $390.54 / $902.50	Professional	TC	$224.87	$390.54	$902.50