Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.70 / $77.62 / $177.83	Facility	26	$53.70	$77.62	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $363.08 / $1,148.15	Professional		$245.47	$363.08	$1,148.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $102.33 / $323.59	Professional	26	$52.48	$102.33	$323.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $234.42 / $524.81	Professional	TC	$169.82	$234.42	$524.81
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $61.66 / $61.66	Facility	26	$61.66	$61.66	$61.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $309.03 / $588.84	Professional		$208.93	$309.03	$588.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $91.20 / $165.96	Professional	26	$46.77	$91.20	$165.96
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $223.87 / $426.58	Professional	TC	$147.91	$223.87	$426.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.18 / $70.79 / $169.82	Facility	26	$13.18	$70.79	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $416.87 / $776.25	Professional		$257.04	$416.87	$776.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $97.72 / $169.82	Professional	26	$56.23	$97.72	$169.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $323.59 / $630.96	Professional	TC	$204.17	$323.59	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $354.81 / $630.96	Professional		$245.47	$354.81	$630.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $81.28 / $141.25	Professional	26	$51.29	$81.28	$141.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $281.84 / $489.78	Professional	TC	$190.55	$281.84	$489.78