Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.10 / $173.78 / $416.87	Facility	26	$87.10	$173.78	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $426.58 / $1,071.52	Professional		$275.42	$426.58	$1,071.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $125.89 / $245.47	Professional	26	$81.28	$125.89	$245.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $302.00 / $602.56	Professional	TC	$190.55	$302.00	$602.56
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $91.20 / $91.20 / $91.20	Facility	26	$91.20	$91.20	$91.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $467.74 / $933.25	Professional		$288.40	$467.74	$933.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $104.71 / $194.98	Professional	26	$79.43	$104.71	$194.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $354.81 / $758.58	Professional	TC	$208.93	$354.81	$758.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $107.15 / $257.04	Facility	26	$19.95	$107.15	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $549.54 / $1,000.00	Professional		$269.15	$549.54	$1,000.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $117.49 / $229.09	Professional	26	$66.07	$117.49	$229.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $398.11 / $794.33	Professional	TC	$190.55	$398.11	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $446.68 / $831.76	Professional		$269.15	$446.68	$831.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $91.20 / $177.83	Professional	26	$70.79	$91.20	$177.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $338.84 / $676.08	Professional	TC	$190.55	$338.84	$676.08