Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $116.08 / $137.86 / $258.82	Facility	26	$116.08	$137.86	$258.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.79 / $272.82 / $380.51	Professional		$203.79	$272.82	$380.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.60 / $116.02 / $176.08	Professional	26	$89.60	$116.02	$176.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $100.51 / $133.47 / $220.00	Professional	TC	$100.51	$133.47	$220.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $127.93 / $127.93 / $127.93	Facility	26	$127.93	$127.93	$127.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $444.83 / $685.94	Professional		$225.00	$444.83	$685.94
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $109.98 / $140.81 / $231.66	Professional	26	$109.98	$140.81	$231.66
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $118.22 / $314.30 / $463.13	Professional	TC	$118.22	$314.30	$463.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $129.66 / $129.66 / $129.66	Facility	26	$129.66	$129.66	$129.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $366.95 / $599.91 / $1,049.98	Professional		$366.95	$599.91	$1,049.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $98.31 / $154.62 / $265.44	Professional	26	$98.31	$154.62	$265.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $261.05 / $435.69 / $759.66	Professional	TC	$261.05	$435.69	$759.66
United Facility/Professional Professional Modifier Low / Median / High Price $387.91 / $530.63 / $980.80	Professional		$387.91	$530.63	$980.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $101.36 / $135.05 / $245.40	Professional	26	$101.36	$135.05	$245.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $281.61 / $391.82 / $724.68	Professional	TC	$281.61	$391.82	$724.68