Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.00 / $99.26 / $172.24	Facility	26	$83.00	$99.26	$172.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.96 / $289.87 / $453.39	Professional		$224.96	$289.87	$453.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.00 / $84.87 / $191.59	Professional	26	$73.00	$84.87	$191.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $145.63 / $200.36 / $282.39	Professional	TC	$145.63	$200.36	$282.39
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $91.56 / $91.56 / $91.56	Facility	26	$91.56	$91.56	$91.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $226.69 / $313.95 / $557.71	Professional		$226.69	$313.95	$557.71
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.72 / $102.15 / $175.85	Professional	26	$79.72	$102.15	$175.85
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $151.87 / $207.31 / $406.68	Professional	TC	$151.87	$207.31	$406.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.84 / $93.84 / $93.84	Facility	26	$93.84	$93.84	$93.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.91 / $365.36 / $595.62	Professional		$222.91	$365.36	$595.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.26 / $115.10 / $195.30	Professional	26	$73.26	$115.10	$195.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $146.53 / $236.96 / $409.26	Professional	TC	$146.53	$236.96	$409.26
United Facility/Professional Professional Modifier Low / Median / High Price $227.66 / $316.13 / $538.67	Professional		$227.66	$316.13	$538.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.45 / $101.61 / $179.00	Professional	26	$75.45	$101.61	$179.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $140.59 / $212.57 / $368.85	Professional	TC	$140.59	$212.57	$368.85