Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $151.24 / $151.24 / $189.50	Facility	26	$151.24	$151.24	$189.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.42 / $358.36 / $721.25	Professional		$289.42	$358.36	$721.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.45 / $141.15 / $408.01	Professional	26	$107.45	$141.15	$408.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $181.94 / $234.88 / $489.59	Professional	TC	$181.94	$234.88	$489.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.14 / $408.28 / $851.99	Professional		$174.14	$408.28	$851.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $109.77 / $165.68 / $298.08	Professional	26	$109.77	$165.68	$298.08
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $101.66 / $254.58 / $507.80	Professional	TC	$101.66	$254.58	$507.80
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $251.40 / $251.40 / $251.40	Facility	26	$251.40	$251.40	$251.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.20 / $316.77 / $715.68	Professional		$178.20	$316.77	$715.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.14 / $141.22 / $273.19	Professional	26	$67.14	$141.22	$273.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $92.59 / $182.36 / $482.10	Professional	TC	$92.59	$182.36	$482.10
United Facility/Professional Professional Modifier Low / Median / High Price $227.80 / $383.04 / $710.80	Professional		$227.80	$383.04	$710.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.96 / $147.13 / $282.20	Professional	26	$87.96	$147.13	$282.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $141.72 / $233.75 / $475.19	Professional	TC	$141.72	$233.75	$475.19