Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.33 / $125.89 / $251.19	Facility	26	$93.33	$125.89	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $281.84 / $457.09	Professional		$239.88	$281.84	$457.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $102.33 / $165.96	Professional	26	$89.13	$102.33	$165.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $181.97 / $323.59	Professional	TC	$141.25	$181.97	$323.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $302.00 / $575.44	Professional		$194.98	$302.00	$575.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $117.49 / $208.93	Professional	26	$83.18	$117.49	$208.93
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $194.98 / $380.19	Professional	TC	$79.43	$194.98	$380.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.55 / $128.82 / $354.81	Facility	26	$24.55	$128.82	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $416.87 / $891.25	Professional		$229.09	$416.87	$891.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $151.36 / $309.03	Professional	26	$100.00	$151.36	$309.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $269.15 / $616.60	Professional	TC	$128.82	$269.15	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $316.23 / $630.96	Professional		$208.93	$316.23	$630.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $123.03 / $229.09	Professional	26	$87.10	$123.03	$229.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $194.98 / $398.11	Professional	TC	$123.03	$194.98	$398.11