Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.10 / $109.65 / $295.12	Facility	26	$63.10	$109.65	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $426.58 / $977.24	Professional		$223.87	$426.58	$977.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $114.82 / $223.87	Professional	26	$57.54	$114.82	$223.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $288.40 / $562.34	Professional	TC	$162.18	$288.40	$562.34
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $64.57 / $64.57	Facility	26	$64.57	$64.57	$64.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $398.11 / $831.76	Professional		$218.78	$398.11	$831.76
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $74.13 / $138.04	Professional	26	$56.23	$74.13	$138.04
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $316.23 / $724.44	Professional	TC	$173.78	$316.23	$724.44
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 $218.78 / $467.74 / $912.01	Professional		$218.78	$467.74	$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 $162.18 / $371.54 / $758.58	Professional	TC	$162.18	$371.54	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $389.05 / $741.31	Professional		$213.80	$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 $158.49 / $302.00 / $630.96	Professional	TC	$158.49	$302.00	$630.96