Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.64 / $139.26 / $237.90	Facility	26	$112.64	$139.26	$237.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $414.14 / $566.61	Professional		$275.00	$414.14	$566.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $99.37 / $121.89 / $272.13	Professional	26	$99.37	$121.89	$272.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $169.17 / $295.45 / $385.70	Professional	TC	$169.17	$295.45	$385.70
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $126.47 / $126.47 / $126.47	Facility	26	$126.47	$126.47	$126.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.91 / $444.15 / $895.66	Professional		$304.91	$444.15	$895.66
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $105.41 / $145.00 / $246.63	Professional	26	$105.41	$145.00	$246.63
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.00 / $304.01 / $648.23	Professional	TC	$190.00	$304.01	$648.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.28 / $128.28 / $128.28	Facility	26	$128.28	$128.28	$128.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.25 / $659.66 / $1,092.00	Professional		$395.25	$659.66	$1,092.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $98.39 / $157.16 / $262.32	Professional	26	$98.39	$157.16	$262.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $275.44 / $474.32 / $843.74	Professional	TC	$275.44	$474.32	$843.74
United Facility/Professional Professional Modifier Low / Median / High Price $390.96 / $557.19 / $995.58	Professional		$390.96	$557.19	$995.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $103.47 / $135.44 / $256.69	Professional	26	$103.47	$135.44	$256.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $281.14 / $412.02 / $742.05	Professional	TC	$281.14	$412.02	$742.05