Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $102.33 / $269.15	Facility	26	$60.26	$102.33	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $295.12 / $676.08	Professional		$204.17	$295.12	$676.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $72.44 / $169.82	Professional	26	$54.95	$72.44	$169.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $218.78 / $426.58	Professional	TC	$147.91	$218.78	$426.58
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $75.86 / $75.86 / $75.86	Facility	26	$75.86	$75.86	$75.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $346.74 / $676.08	Professional		$223.87	$346.74	$676.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $87.10 / $158.49	Professional	26	$60.26	$87.10	$158.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $263.03 / $537.03	Professional	TC	$165.96	$263.03	$537.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.45 / $77.62 / $190.55	Facility	26	$14.45	$77.62	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $398.11 / $707.95	Professional		$213.80	$398.11	$707.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $89.13 / $173.78	Professional	26	$50.12	$89.13	$173.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $302.00 / $562.34	Professional	TC	$154.88	$302.00	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $323.59 / $588.84	Professional		$213.80	$323.59	$588.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $72.44 / $138.04	Professional	26	$53.70	$72.44	$138.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $251.19 / $457.09	Professional	TC	$158.49	$251.19	$457.09