Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.11 / $111.70 / $273.24	Facility	26	$87.11	$111.70	$273.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.25 / $354.51 / $846.45	Professional		$292.25	$354.51	$846.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.70 / $98.62 / $317.79	Professional	26	$77.70	$98.62	$317.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $218.69 / $261.88 / $489.94	Professional	TC	$218.69	$261.88	$489.94
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $96.54 / $96.54 / $96.54	Facility	26	$96.54	$96.54	$96.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $292.86 / $388.12 / $807.88	Professional		$292.86	$388.12	$807.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.45 / $110.15 / $207.21	Professional	26	$83.45	$110.15	$207.21
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $208.76 / $284.61 / $589.03	Professional	TC	$208.76	$284.61	$589.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.40 / $98.40 / $98.40	Facility	26	$98.40	$98.40	$98.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.44 / $443.31 / $732.33	Professional		$283.44	$443.31	$732.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.30 / $123.20 / $205.49	Professional	26	$77.30	$123.20	$205.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $203.50 / $320.05 / $537.55	Professional	TC	$203.50	$320.05	$537.55
United Facility/Professional Professional Modifier Low / Median / High Price $289.08 / $387.66 / $672.34	Professional		$289.08	$387.66	$672.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.31 / $105.62 / $190.84	Professional	26	$81.31	$105.62	$190.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $203.08 / $276.83 / $493.67	Professional	TC	$203.08	$276.83	$493.67