Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.15 / $98.00 / $172.70	Facility	26	$77.15	$98.00	$172.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.19 / $340.04 / $543.33	Professional		$220.19	$340.04	$543.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.17 / $78.41 / $154.51	Professional	26	$62.17	$78.41	$154.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $144.91 / $229.82 / $364.97	Professional	TC	$144.91	$229.82	$364.97
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $76.87 / $76.87 / $76.87	Facility	26	$76.87	$76.87	$76.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.32 / $309.60 / $670.49	Professional		$224.32	$309.60	$670.49
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $72.14 / $93.50 / $156.38	Professional	26	$72.14	$93.50	$156.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $156.35 / $233.86 / $468.74	Professional	TC	$156.35	$233.86	$468.74
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.25 / $87.25 / $87.25	Facility	26	$87.25	$87.25	$87.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.68 / $386.44 / $655.04	Professional		$226.68	$386.44	$655.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.30 / $101.46 / $171.77	Professional	26	$66.30	$101.46	$171.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $151.02 / $287.68 / $478.58	Professional	TC	$151.02	$287.68	$478.58
United Facility/Professional Professional Modifier Low / Median / High Price $221.61 / $335.55 / $558.82	Professional		$221.61	$335.55	$558.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.54 / $91.44 / $162.57	Professional	26	$64.54	$91.44	$162.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $143.80 / $241.58 / $407.48	Professional	TC	$143.80	$241.58	$407.48