Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.18 / $120.23 / $346.74	Facility	26	$69.18	$120.23	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $295.12 / $1,047.13	Professional		$186.21	$295.12	$1,047.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $104.71 / $213.80	Professional	26	$64.57	$104.71	$213.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $173.78 / $371.54	Professional	TC	$123.03	$173.78	$371.54
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $85.11 / $85.11	Facility	26	$85.11	$85.11	$85.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $302.00 / $602.56	Professional		$199.53	$302.00	$602.56
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $93.33 / $181.97	Professional	26	$69.18	$93.33	$181.97
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $204.17 / $398.11	Professional	TC	$138.04	$204.17	$398.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.62 / $97.72 / $239.88	Facility	26	$18.62	$97.72	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $338.84 / $660.69	Professional		$194.98	$338.84	$660.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $104.71 / $213.80	Professional	26	$58.88	$104.71	$213.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $223.87 / $446.68	Professional	TC	$128.82	$223.87	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $457.09 / $1,122.02	Professional		$218.78	$457.09	$1,122.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $85.11 / $165.96	Professional	26	$64.57	$85.11	$165.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $316.23 / $933.25	Professional	TC	$147.91	$316.23	$933.25