Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.79 / $135.43 / $236.77	Facility	26	$112.79	$135.43	$236.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $361.68 / $628.14	Professional		$275.00	$361.68	$628.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.31 / $118.84 / $273.00	Professional	26	$100.31	$118.84	$273.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $170.16 / $237.98 / $373.84	Professional	TC	$170.16	$237.98	$373.84
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $125.21 / $125.21 / $125.21	Facility	26	$125.21	$125.21	$125.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.14 / $412.28 / $860.85	Professional		$306.14	$412.28	$860.85
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $109.86 / $140.74 / $239.96	Professional	26	$109.86	$140.74	$239.96
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $193.61 / $278.93 / $606.39	Professional	TC	$193.61	$278.93	$606.39
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.94 / $128.94 / $128.94	Facility	26	$128.94	$128.94	$128.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.00 / $598.30 / $960.90	Professional		$325.00	$598.30	$960.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.51 / $155.47 / $265.89	Professional	26	$100.51	$155.47	$265.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $215.08 / $429.37 / $701.50	Professional	TC	$215.08	$429.37	$701.50
United Facility/Professional Professional Modifier Low / Median / High Price $333.45 / $506.23 / $885.01	Professional		$333.45	$506.23	$885.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $102.77 / $139.33 / $245.15	Professional	26	$102.77	$139.33	$245.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $220.22 / $346.29 / $686.84	Professional	TC	$220.22	$346.29	$686.84