Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $101.27 / $126.00 / $206.82	Facility	26	$101.27	$126.00	$206.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.67 / $425.00 / $600.00	Professional		$279.67	$425.00	$600.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.78 / $124.36 / $161.00	Professional	26	$82.78	$124.36	$161.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $196.89 / $308.43 / $458.80	Professional	TC	$196.89	$308.43	$458.80
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $92.21 / $92.21 / $92.21	Facility	26	$92.21	$92.21	$92.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $289.12 / $435.99 / $818.71	Professional		$289.12	$435.99	$818.71
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.08 / $106.33 / $174.95	Professional	26	$79.08	$106.33	$174.95
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $208.11 / $334.98 / $658.75	Professional	TC	$208.11	$334.98	$658.75
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.41 / $93.41 / $93.41	Facility	26	$93.41	$93.41	$93.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.23 / $579.29 / $947.99	Professional		$283.23	$579.29	$947.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.89 / $117.15 / $196.86	Professional	26	$72.89	$117.15	$196.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $214.74 / $447.35 / $769.11	Professional	TC	$214.74	$447.35	$769.11
United Facility/Professional Professional Modifier Low / Median / High Price $283.88 / $496.12 / $843.83	Professional		$283.88	$496.12	$843.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.47 / $100.46 / $177.56	Professional	26	$75.47	$100.46	$177.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $203.02 / $356.47 / $684.52	Professional	TC	$203.02	$356.47	$684.52