Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.28 / $112.20 / $309.03	Facility	26	$81.28	$112.20	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $338.84 / $1,096.48	Professional		$223.87	$338.84	$1,096.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $114.82 / $380.19	Professional	26	$77.62	$114.82	$380.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $177.83 / $346.74	Professional	TC	$138.04	$177.83	$346.74
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $89.13 / $89.13	Facility	26	$89.13	$89.13	$89.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $323.59 / $630.96	Professional		$229.09	$323.59	$630.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $123.03 / $229.09	Professional	26	$81.28	$123.03	$229.09
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $199.53 / $389.05	Professional	TC	$144.54	$199.53	$389.05
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $107.15 / $251.19	Facility	26	$19.95	$107.15	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $354.81 / $676.08	Professional		$234.42	$354.81	$676.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $125.89 / $239.88	Professional	26	$85.11	$125.89	$239.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $218.78 / $446.68	Professional	TC	$154.88	$218.78	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $295.12 / $512.86	Professional		$208.93	$295.12	$512.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $107.15 / $190.55	Professional	26	$75.86	$107.15	$190.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $186.21 / $338.84	Professional	TC	$131.83	$186.21	$338.84