Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.33 / $169.82 / $446.68	Facility	26	$93.33	$169.82	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $354.81 / $776.25	Professional		$257.04	$354.81	$776.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $109.65 / $288.40	Professional	26	$83.18	$109.65	$288.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $251.19 / $467.74	Professional	TC	$181.97	$251.19	$467.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $407.38 / $812.83	Professional		$288.40	$407.38	$812.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $128.82 / $245.47	Professional	26	$93.33	$128.82	$245.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $288.40 / $575.44	Professional	TC	$199.53	$288.40	$575.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.12 / $141.25 / $416.87	Facility	26	$25.12	$141.25	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $489.78 / $977.24	Professional		$309.03	$489.78	$977.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $154.88 / $295.12	Professional	26	$95.50	$154.88	$295.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $346.74 / $691.83	Professional	TC	$218.78	$346.74	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $407.38 / $741.31	Professional		$275.42	$407.38	$741.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $125.89 / $223.87	Professional	26	$85.11	$125.89	$223.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $281.84 / $512.86	Professional	TC	$190.55	$281.84	$512.86