Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.35 / $105.79 / $192.72	Facility	26	$87.35	$105.79	$192.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.88 / $392.47 / $624.64	Professional		$253.88	$392.47	$624.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.37 / $91.40 / $190.98	Professional	26	$78.37	$91.40	$190.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $170.12 / $305.93 / $404.35	Professional	TC	$170.12	$305.93	$404.35
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $95.80 / $95.80 / $95.80	Facility	26	$95.80	$95.80	$95.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.10 / $360.52 / $783.50	Professional		$281.10	$360.52	$783.50
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.50 / $106.92 / $188.94	Professional	26	$79.50	$106.92	$188.94
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.00 / $272.00 / $633.33	Professional	TC	$190.00	$272.00	$633.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.06 / $98.06 / $98.06	Facility	26	$98.06	$98.06	$98.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.87 / $514.16 / $895.41	Professional		$301.87	$514.16	$895.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.22 / $122.28 / $203.00	Professional	26	$76.22	$122.28	$203.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $217.15 / $384.00 / $680.51	Professional	TC	$217.15	$384.00	$680.51
United Facility/Professional Professional Modifier Low / Median / High Price $287.31 / $459.61 / $761.89	Professional		$287.31	$459.61	$761.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $80.61 / $106.61 / $189.38	Professional	26	$80.61	$106.61	$189.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $200.77 / $334.52 / $574.54	Professional	TC	$200.77	$334.52	$574.54