Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.68 / $102.09 / $154.54	Facility	26	$69.68	$102.09	$154.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.08 / $425.00 / $603.00	Professional		$237.08	$425.00	$603.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.12 / $119.79 / $180.00	Professional	26	$59.12	$119.79	$180.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $176.70 / $306.97 / $423.32	Professional	TC	$176.70	$306.97	$423.32
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $63.97 / $63.97 / $63.97	Facility	26	$63.97	$63.97	$63.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.22 / $362.81 / $690.39	Professional		$236.22	$362.81	$690.39
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.49 / $75.87 / $124.25	Professional	26	$56.49	$75.87	$124.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $178.02 / $291.24 / $584.30	Professional	TC	$178.02	$291.24	$584.30
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.84 / $64.84 / $64.84	Facility	26	$64.84	$64.84	$64.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.69 / $513.86 / $868.10	Professional		$239.69	$513.86	$868.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.70 / $81.26 / $140.72	Professional	26	$50.70	$81.26	$140.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $182.43 / $389.52 / $708.43	Professional	TC	$182.43	$389.52	$708.43
United Facility/Professional Professional Modifier Low / Median / High Price $229.47 / $401.94 / $721.30	Professional		$229.47	$401.94	$721.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.34 / $69.28 / $129.71	Professional	26	$52.34	$69.28	$129.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $169.66 / $320.26 / $611.41	Professional	TC	$169.66	$320.26	$611.41