Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.20 / $213.80 / $537.03	Facility	26	$112.20	$213.80	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $269.15 / $537.03	Professional		$194.98	$269.15	$537.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $120.23 / $269.15	Professional	26	$60.26	$120.23	$269.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $131.83 / $263.03	Professional	TC	$100.00	$131.83	$263.03
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $128.82 / $128.82 / $128.82	Facility	26	$128.82	$128.82	$128.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $407.38 / $794.33	Professional		$218.78	$407.38	$794.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $138.04 / $251.19	Professional	26	$107.15	$138.04	$251.19
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $269.15 / $575.44	Professional	TC	$104.71	$269.15	$575.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.54 / $147.91 / $363.08	Facility	26	$27.54	$147.91	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $588.84 / $1,148.15	Professional		$331.13	$588.84	$1,148.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $151.36 / $309.03	Professional	26	$83.18	$151.36	$309.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $436.52 / $870.96	Professional	TC	$239.88	$436.52	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $489.78 / $977.24	Professional		$363.08	$489.78	$977.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $125.89 / $245.47	Professional	26	$93.33	$125.89	$245.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $371.54 / $724.44	Professional	TC	$263.03	$371.54	$724.44