Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.28 / $120.23 / $426.58	Facility	26	$81.28	$120.23	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $389.05 / $1,479.11	Professional		$275.42	$389.05	$1,479.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $97.72 / $323.59	Professional	26	$79.43	$97.72	$323.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $275.42 / $691.83	Professional	TC	$204.17	$275.42	$691.83
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 $275.42 / $389.05 / $794.33	Professional		$275.42	$389.05	$794.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $112.20 / $213.80	Professional	26	$83.18	$112.20	$213.80
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $288.40 / $575.44	Professional	TC	$194.98	$288.40	$575.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.38 / $112.20 / $275.42	Facility	26	$21.38	$112.20	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $436.52 / $891.25	Professional		$257.04	$436.52	$891.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $117.49 / $239.88	Professional	26	$67.61	$117.49	$239.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $323.59 / $660.69	Professional	TC	$186.21	$323.59	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $363.08 / $676.08	Professional		$269.15	$363.08	$676.08
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 $190.55 / $263.03 / $489.78	Professional	TC	$190.55	$263.03	$489.78