Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $120.23 / $331.13	Facility	26	$67.61	$120.23	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $426.58 / $977.24	Professional		$234.42	$426.58	$977.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $120.23 / $229.09	Professional	26	$64.57	$120.23	$229.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $295.12 / $562.34	Professional	TC	$169.82	$295.12	$562.34
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $70.79 / $70.79	Facility	26	$70.79	$70.79	$70.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $407.38 / $812.83	Professional		$229.09	$407.38	$812.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $85.11 / $154.88	Professional	26	$61.66	$85.11	$154.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $309.03 / $691.83	Professional	TC	$173.78	$309.03	$691.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.49 / $83.18 / $204.17	Facility	26	$15.49	$83.18	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $457.09 / $851.14	Professional		$229.09	$457.09	$851.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $91.20 / $181.97	Professional	26	$51.29	$91.20	$181.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $346.74 / $691.83	Professional	TC	$165.96	$346.74	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $380.19 / $724.44	Professional		$223.87	$380.19	$724.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $72.44 / $138.04	Professional	26	$54.95	$72.44	$138.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $295.12 / $588.84	Professional	TC	$165.96	$295.12	$588.84