Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.71 / $165.96 / $457.09	Facility	26	$104.71	$165.96	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $371.54 / $1,202.26	Professional		$263.03	$371.54	$1,202.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $173.78 / $467.74	Professional	26	$93.33	$173.78	$467.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $234.42 / $426.58	Professional	TC	$158.49	$234.42	$426.58
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $125.89 / $125.89	Facility	26	$125.89	$125.89	$125.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $436.52 / $891.25	Professional		$295.12	$436.52	$891.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $138.04 / $263.03	Professional	26	$109.65	$138.04	$263.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $295.12 / $660.69	Professional	TC	$190.55	$295.12	$660.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.54 / $147.91 / $354.81	Facility	26	$27.54	$147.91	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $562.34 / $1,047.13	Professional		$295.12	$562.34	$1,047.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $151.36 / $309.03	Professional	26	$85.11	$151.36	$309.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $398.11 / $758.58	Professional	TC	$194.98	$398.11	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $478.63 / $912.01	Professional		$309.03	$478.63	$912.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $125.89 / $239.88	Professional	26	$95.50	$125.89	$239.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $331.13 / $707.95	Professional	TC	$208.93	$331.13	$707.95