Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.72 / $147.91 / $436.52	Facility	26	$97.72	$147.91	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $478.63 / $1,621.81	Professional		$309.03	$478.63	$1,621.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $165.96 / $501.19	Professional	26	$95.50	$165.96	$501.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $281.84 / $588.84	Professional	TC	$199.53	$281.84	$588.84
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $120.23 / $120.23 / $120.23	Facility	26	$120.23	$120.23	$120.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $457.09 / $912.01	Professional		$295.12	$457.09	$912.01
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $134.90 / $263.03	Professional	26	$97.72	$134.90	$263.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $323.59 / $660.69	Professional	TC	$229.09	$323.59	$660.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $141.25 / $346.74	Facility	26	$26.92	$141.25	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $524.81 / $1,047.13	Professional		$309.03	$524.81	$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 $208.93 / $371.54 / $724.44	Professional	TC	$208.93	$371.54	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $602.56 / $1,230.27	Professional		$346.74	$602.56	$1,230.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $114.82 / $229.09	Professional	26	$70.79	$114.82	$229.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $457.09 / $1,023.29	Professional	TC	$245.47	$457.09	$1,023.29