Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.65 / $106.95 / $244.41	Facility	26	$82.65	$106.95	$244.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.40 / $227.65 / $505.21	Professional		$184.40	$227.65	$505.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.87 / $89.34 / $251.75	Professional	26	$72.87	$89.34	$251.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $102.91 / $136.56 / $253.91	Professional	TC	$102.91	$136.56	$253.91
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $92.57 / $92.57 / $92.57	Facility	26	$92.57	$92.57	$92.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.22 / $250.22 / $502.08	Professional		$183.22	$250.22	$502.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.25 / $107.28 / $197.99	Professional	26	$79.25	$107.28	$197.99
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $103.88 / $143.21 / $304.02	Professional	TC	$103.88	$143.21	$304.02
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $94.15 / $94.15 / $94.15	Facility	26	$94.15	$94.15	$94.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.72 / $281.51 / $470.15	Professional		$178.72	$281.51	$470.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.48 / $117.76 / $195.94	Professional	26	$73.48	$117.76	$195.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $102.50 / $159.96 / $274.47	Professional	TC	$102.50	$159.96	$274.47
United Facility/Professional Professional Modifier Low / Median / High Price $177.17 / $241.92 / $414.94	Professional		$177.17	$241.92	$414.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $76.34 / $102.67 / $182.23	Professional	26	$76.34	$102.67	$182.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $98.55 / $141.19 / $232.02	Professional	TC	$98.55	$141.19	$232.02