Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.37 / $114.44 / $193.72	Facility	26	$86.37	$114.44	$193.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.23 / $370.00 / $566.98	Professional		$244.23	$370.00	$566.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.75 / $87.04 / $140.21	Professional	26	$74.75	$87.04	$140.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $168.49 / $240.00 / $391.04	Professional	TC	$168.49	$240.00	$391.04
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $96.07 / $96.07 / $96.07	Facility	26	$96.07	$96.07	$96.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.12 / $360.13 / $775.22	Professional		$275.12	$360.13	$775.22
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $77.84 / $104.50 / $185.68	Professional	26	$77.84	$104.50	$185.68
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.00 / $272.00 / $628.07	Professional	TC	$190.00	$272.00	$628.07
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.97 / $96.97 / $96.97	Facility	26	$96.97	$96.97	$96.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.67 / $510.26 / $873.53	Professional		$302.67	$510.26	$873.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.59 / $118.63 / $206.16	Professional	26	$75.59	$118.63	$206.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $216.80 / $384.00 / $668.94	Professional	TC	$216.80	$384.00	$668.94
United Facility/Professional Professional Modifier Low / Median / High Price $282.63 / $446.31 / $768.53	Professional		$282.63	$446.31	$768.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.92 / $104.81 / $184.62	Professional	26	$77.92	$104.81	$184.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $200.62 / $328.36 / $568.95	Professional	TC	$200.62	$328.36	$568.95