Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.10 / $123.03 / $354.81	Facility	26	$63.10	$123.03	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $398.11 / $741.31	Professional		$234.42	$398.11	$741.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $95.50 / $181.97	Professional	26	$57.54	$95.50	$181.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $295.12 / $537.03	Professional	TC	$177.83	$295.12	$537.03
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $63.10 / $63.10 / $63.10	Facility	26	$63.10	$63.10	$63.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $416.87 / $851.14	Professional		$245.47	$416.87	$851.14
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $74.13 / $138.04	Professional	26	$53.70	$74.13	$138.04
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $338.84 / $741.31	Professional	TC	$199.53	$338.84	$741.31
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.80 / $74.13 / $181.97	Facility	26	$13.80	$74.13	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $489.78 / $912.01	Professional		$223.87	$489.78	$912.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $81.28 / $165.96	Professional	26	$45.71	$81.28	$165.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $380.19 / $758.58	Professional	TC	$173.78	$380.19	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $389.05 / $741.31	Professional		$218.78	$389.05	$741.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $63.10 / $123.03	Professional	26	$47.86	$63.10	$123.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $309.03 / $630.96	Professional	TC	$169.82	$309.03	$630.96