Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $95.50 / $263.03	Facility	26	$60.26	$95.50	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $281.84 / $724.44	Professional		$190.55	$281.84	$724.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $81.28 / $208.93	Professional	26	$54.95	$81.28	$208.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $213.80 / $436.52	Professional	TC	$131.83	$213.80	$436.52
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $72.44 / $72.44	Facility	26	$72.44	$72.44	$72.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $331.13 / $676.08	Professional		$199.53	$331.13	$676.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $85.11 / $151.36	Professional	26	$58.88	$85.11	$151.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $245.47 / $537.03	Professional	TC	$151.36	$245.47	$537.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.45 / $77.62 / $186.21	Facility	26	$14.45	$77.62	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $380.19 / $707.95	Professional		$194.98	$380.19	$707.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $87.10 / $169.82	Professional	26	$48.98	$87.10	$169.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $275.42 / $537.03	Professional	TC	$138.04	$275.42	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $316.23 / $575.44	Professional		$199.53	$316.23	$575.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $72.44 / $141.25	Professional	26	$54.95	$72.44	$141.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $234.42 / $446.68	Professional	TC	$141.25	$234.42	$446.68