Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.24 / $128.00 / $207.81	Facility	26	$104.24	$128.00	$207.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.69 / $475.00 / $747.20	Professional		$347.69	$475.00	$747.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.20 / $128.78 / $199.08	Professional	26	$85.20	$128.78	$199.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $262.49 / $335.00 / $493.31	Professional	TC	$262.49	$335.00	$493.31
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $94.72 / $94.72 / $94.72	Facility	26	$94.72	$94.72	$94.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.37 / $479.69 / $939.12	Professional		$354.37	$479.69	$939.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.84 / $113.18 / $184.98	Professional	26	$81.84	$113.18	$184.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $266.32 / $369.04 / $775.19	Professional	TC	$266.32	$369.04	$775.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.55 / $96.55 / $96.55	Facility	26	$96.55	$96.55	$96.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.40 / $594.16 / $987.98	Professional		$344.40	$594.16	$987.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.83 / $119.69 / $199.94	Professional	26	$75.83	$119.69	$199.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $262.67 / $475.07 / $768.91	Professional	TC	$262.67	$475.07	$768.91
United Facility/Professional Professional Modifier Low / Median / High Price $353.13 / $509.51 / $878.24	Professional		$353.13	$509.51	$878.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.31 / $103.42 / $187.22	Professional	26	$77.31	$103.42	$187.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $255.83 / $407.61 / $687.86	Professional	TC	$255.83	$407.61	$687.86