Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.56 / $111.15 / $162.06	Facility	26	$80.56	$111.15	$162.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.52 / $425.00 / $608.00	Professional		$249.52	$425.00	$608.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.15 / $126.00 / $162.06	Professional	26	$65.15	$126.00	$162.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $181.95 / $307.20 / $418.75	Professional	TC	$181.95	$307.20	$418.75
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $71.45 / $71.45 / $71.45	Facility	26	$71.45	$71.45	$71.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.73 / $371.69 / $688.44	Professional		$239.73	$371.69	$688.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.13 / $84.05 / $138.14	Professional	26	$61.13	$84.05	$138.14
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $176.26 / $289.14 / $597.97	Professional	TC	$176.26	$289.14	$597.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.95 / $72.95 / $72.95	Facility	26	$72.95	$72.95	$72.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.65 / $494.51 / $823.89	Professional		$234.65	$494.51	$823.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.72 / $89.67 / $156.61	Professional	26	$56.72	$89.67	$156.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $169.39 / $375.26 / $685.23	Professional	TC	$169.39	$375.26	$685.23
United Facility/Professional Professional Modifier Low / Median / High Price $238.41 / $403.70 / $741.69	Professional		$238.41	$403.70	$741.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.29 / $77.89 / $142.10	Professional	26	$58.29	$77.89	$142.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $174.41 / $301.81 / $600.23	Professional	TC	$174.41	$301.81	$600.23