Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $131.83 / $354.81	Facility	26	$85.11	$131.83	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $346.74 / $912.01	Professional		$239.88	$346.74	$912.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $109.65 / $288.40	Professional	26	$72.44	$109.65	$288.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $223.87 / $512.86	Professional	TC	$162.18	$223.87	$512.86
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $95.50 / $95.50 / $95.50	Facility	26	$95.50	$95.50	$95.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $371.54 / $870.96	Professional		$263.03	$371.54	$870.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $102.33 / $204.17	Professional	26	$75.86	$102.33	$204.17
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $281.84 / $660.69	Professional	TC	$190.55	$281.84	$660.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $112.20 / $269.15	Facility	26	$20.89	$112.20	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $501.19 / $954.99	Professional		$263.03	$501.19	$954.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $117.49 / $239.88	Professional	26	$69.18	$117.49	$239.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $371.54 / $741.31	Professional	TC	$190.55	$371.54	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $426.58 / $776.25	Professional		$275.42	$426.58	$776.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $100.00 / $186.21	Professional	26	$74.13	$100.00	$186.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $316.23 / $588.84	Professional	TC	$194.98	$316.23	$588.84