Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $114.82 / $316.23	Facility	26	$72.44	$114.82	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $426.58 / $1,288.25	Professional		$204.17	$426.58	$1,288.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $125.89 / $323.59	Professional	26	$67.61	$125.89	$323.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $275.42 / $562.34	Professional	TC	$131.83	$275.42	$562.34
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $77.62 / $77.62 / $77.62	Facility	26	$77.62	$77.62	$77.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $398.11 / $812.83	Professional		$204.17	$398.11	$812.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $91.20 / $169.82	Professional	26	$67.61	$91.20	$169.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $288.40 / $660.69	Professional	TC	$141.25	$288.40	$660.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $89.13 / $218.78	Facility	26	$16.98	$89.13	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $426.58 / $812.83	Professional		$199.53	$426.58	$812.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $97.72 / $194.98	Professional	26	$56.23	$97.72	$194.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $309.03 / $645.65	Professional	TC	$131.83	$309.03	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $346.74 / $676.08	Professional		$194.98	$346.74	$676.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $77.62 / $151.36	Professional	26	$58.88	$77.62	$151.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $245.47 / $537.03	Professional	TC	$131.83	$245.47	$537.03