Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.28 / $125.89 / $354.81	Facility	26	$81.28	$125.89	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $478.63 / $1,148.15	Professional		$194.98	$478.63	$1,148.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $141.25 / $323.59	Professional	26	$77.62	$141.25	$323.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $338.84 / $724.44	Professional	TC	$245.47	$338.84	$724.44
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $87.10 / $87.10 / $87.10	Facility	26	$87.10	$87.10	$87.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $467.74 / $977.24	Professional		$316.23	$467.74	$977.24
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $91.20 / $181.97	Professional	26	$69.18	$91.20	$181.97
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $363.08 / $851.14	Professional	TC	$251.19	$363.08	$851.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.62 / $100.00 / $245.47	Facility	26	$18.62	$100.00	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $562.34 / $1,047.13	Professional		$302.00	$562.34	$1,047.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $109.65 / $218.78	Professional	26	$61.66	$109.65	$218.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $446.68 / $851.14	Professional	TC	$234.42	$446.68	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $467.74 / $870.96	Professional		$309.03	$467.74	$870.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $87.10 / $169.82	Professional	26	$66.07	$87.10	$169.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $371.54 / $691.83	Professional	TC	$239.88	$371.54	$691.83