Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.67 / $126.82 / $200.47	Facility	26	$100.67	$126.82	$200.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.34 / $475.00 / $745.43	Professional		$348.34	$475.00	$745.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.20 / $130.11 / $210.05	Professional	26	$85.20	$130.11	$210.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $263.14 / $335.00 / $512.91	Professional	TC	$263.14	$335.00	$512.91
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $94.72 / $94.72 / $94.72	Facility	26	$94.72	$94.72	$94.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $355.61 / $480.87 / $937.41	Professional		$355.61	$480.87	$937.41
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $82.34 / $113.60 / $183.37	Professional	26	$82.34	$113.60	$183.37
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $268.08 / $369.89 / $752.01	Professional	TC	$268.08	$369.89	$752.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.55 / $96.55 / $96.55	Facility	26	$96.55	$96.55	$96.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.68 / $599.38 / $990.50	Professional		$343.68	$599.38	$990.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.56 / $121.47 / $208.88	Professional	26	$75.56	$121.47	$208.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $262.43 / $477.06 / $769.46	Professional	TC	$262.43	$477.06	$769.46
United Facility/Professional Professional Modifier Low / Median / High Price $349.23 / $506.80 / $882.29	Professional		$349.23	$506.80	$882.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.61 / $104.20 / $183.38	Professional	26	$77.61	$104.20	$183.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $261.72 / $407.61 / $705.69	Professional	TC	$261.72	$407.61	$705.69