Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $112.20 / $309.03	Facility	26	$72.44	$112.20	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $316.23 / $977.24	Professional		$218.78	$316.23	$977.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $93.33 / $223.87	Professional	26	$61.66	$93.33	$223.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $213.80 / $457.09	Professional	TC	$141.25	$213.80	$457.09
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $77.62 / $77.62 / $77.62	Facility	26	$77.62	$77.62	$77.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $338.84 / $660.69	Professional		$223.87	$338.84	$660.69
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $93.33 / $177.83	Professional	26	$72.44	$93.33	$177.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $245.47 / $501.19	Professional	TC	$158.49	$245.47	$501.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.62 / $100.00 / $239.88	Facility	26	$18.62	$100.00	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $389.05 / $707.95	Professional		$208.93	$389.05	$707.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $100.00 / $208.93	Professional	26	$58.88	$100.00	$208.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $281.84 / $512.86	Professional	TC	$144.54	$281.84	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $316.23 / $562.34	Professional		$213.80	$316.23	$562.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $83.18 / $162.18	Professional	26	$58.88	$83.18	$162.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $223.87 / $416.87	Professional	TC	$141.25	$223.87	$416.87