Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.69 / $111.15 / $176.08	Facility	26	$78.69	$111.15	$176.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.86 / $425.00 / $628.73	Professional		$253.86	$425.00	$628.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.92 / $118.59 / $181.53	Professional	26	$71.92	$118.59	$181.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $186.19 / $299.00 / $436.06	Professional	TC	$186.19	$299.00	$436.06
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 $269.13 / $416.76 / $751.57	Professional		$269.13	$416.76	$751.57
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.47 / $80.84 / $145.43	Professional	26	$62.47	$80.84	$145.43
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $195.88 / $333.35 / $628.36	Professional	TC	$195.88	$333.35	$628.36
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.40 / $81.40 / $81.40	Facility	26	$81.40	$81.40	$81.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.95 / $529.72 / $888.57	Professional		$258.95	$529.72	$888.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.76 / $91.52 / $165.00	Professional	26	$57.76	$91.52	$165.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $200.79 / $425.83 / $730.00	Professional	TC	$200.79	$425.83	$730.00
United Facility/Professional Professional Modifier Low / Median / High Price $253.43 / $446.93 / $748.92	Professional		$253.43	$446.93	$748.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.52 / $84.56 / $163.72	Professional	26	$54.52	$84.56	$163.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $183.29 / $328.34 / $633.20	Professional	TC	$183.29	$328.34	$633.20