Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $138.04 / $223.87 / $630.96	Facility	26	$138.04	$223.87	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $302.00 / $741.31	Professional		$223.87	$302.00	$741.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $190.55 / $537.03	Professional	26	$128.82	$190.55	$537.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $144.54 / $309.03	Professional	TC	$107.15	$144.54	$309.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $354.81 / $707.95	Professional		$245.47	$354.81	$707.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $190.55 / $363.08	Professional	26	$128.82	$190.55	$363.08
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $169.82 / $338.84	Professional	TC	$117.49	$169.82	$338.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.15 / $213.80 / $616.60	Facility	26	$37.15	$213.80	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $416.87 / $812.83	Professional		$263.03	$416.87	$812.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $141.25 / $229.09 / $436.52	Professional	26	$141.25	$229.09	$436.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $204.17 / $398.11	Professional	TC	$125.89	$204.17	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $354.81 / $630.96	Professional		$239.88	$354.81	$630.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $125.89 / $190.55 / $331.13	Professional	26	$125.89	$190.55	$331.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $165.96 / $302.00	Professional	TC	$112.20	$165.96	$302.00