Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $126.00 / $169.81 / $309.67	Facility	26	$126.00	$169.81	$309.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.90 / $475.00 / $913.17	Professional		$381.90	$475.00	$913.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $119.21 / $153.69 / $386.40	Professional	26	$119.21	$153.69	$386.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $259.35 / $335.00 / $513.07	Professional	TC	$259.35	$335.00	$513.07
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $134.94 / $134.94 / $134.94	Facility	26	$134.94	$134.94	$134.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $378.09 / $503.86 / $1,087.08	Professional		$378.09	$503.86	$1,087.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $118.36 / $156.35 / $275.10	Professional	26	$118.36	$156.35	$275.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $257.77 / $361.13 / $846.18	Professional	TC	$257.77	$361.13	$846.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $139.38 / $139.38 / $139.38	Facility	26	$139.38	$139.38	$139.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $369.95 / $677.81 / $1,119.36	Professional		$369.95	$677.81	$1,119.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.22 / $172.46 / $295.11	Professional	26	$109.22	$172.46	$295.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $247.87 / $502.91 / $824.77	Professional	TC	$247.87	$502.91	$824.77
United Facility/Professional Professional Modifier Low / Median / High Price $377.33 / $581.83 / $984.48	Professional		$377.33	$581.83	$984.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $110.80 / $148.85 / $263.70	Professional	26	$110.80	$148.85	$263.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $260.70 / $414.82 / $736.05	Professional	TC	$260.70	$414.82	$736.05