Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.93 / $123.56 / $180.65	Facility	26	$89.93	$123.56	$180.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.85 / $475.00 / $914.50	Professional		$327.85	$475.00	$914.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.44 / $132.38 / $245.78	Professional	26	$78.44	$132.38	$245.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $249.53 / $335.00 / $524.07	Professional	TC	$249.53	$335.00	$524.07
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $86.16 / $86.16 / $86.16	Facility	26	$86.16	$86.16	$86.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.37 / $429.04 / $928.49	Professional		$317.37	$429.04	$928.49
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $71.93 / $94.70 / $165.84	Professional	26	$71.93	$94.70	$165.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $255.13 / $349.56 / $757.82	Professional	TC	$255.13	$349.56	$757.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.95 / $87.95 / $87.95	Facility	26	$87.95	$87.95	$87.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.64 / $590.51 / $960.79	Professional		$321.64	$590.51	$960.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.67 / $109.84 / $186.32	Professional	26	$68.67	$109.84	$186.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $248.11 / $477.50 / $778.52	Professional	TC	$248.11	$477.50	$778.52
United Facility/Professional Professional Modifier Low / Median / High Price $325.58 / $505.18 / $885.60	Professional		$325.58	$505.18	$885.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $71.17 / $94.61 / $175.18	Professional	26	$71.17	$94.61	$175.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $250.86 / $401.58 / $698.68	Professional	TC	$250.86	$401.58	$698.68