Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.95 / $111.15 / $188.74	Facility	26	$83.95	$111.15	$188.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.68 / $425.38 / $700.69	Professional		$209.68	$425.38	$700.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.90 / $135.61 / $264.06	Professional	26	$70.90	$135.61	$264.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $135.04 / $297.50 / $441.00	Professional	TC	$135.04	$297.50	$441.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $78.94 / $78.94 / $78.94	Facility	26	$78.94	$78.94	$78.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.54 / $312.66 / $674.36	Professional		$201.54	$312.66	$674.36
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.00 / $95.40 / $162.99	Professional	26	$70.00	$95.40	$162.99
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $128.77 / $190.95 / $532.64	Professional	TC	$128.77	$190.95	$532.64
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.26 / $80.26 / $80.26	Facility	26	$80.26	$80.26	$80.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.47 / $412.51 / $809.55	Professional		$195.47	$412.51	$809.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.41 / $103.04 / $175.40	Professional	26	$63.41	$103.04	$175.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $128.44 / $280.79 / $656.80	Professional	TC	$128.44	$280.79	$656.80
United Facility/Professional Professional Modifier Low / Median / High Price $198.46 / $342.82 / $669.75	Professional		$198.46	$342.82	$669.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.63 / $87.23 / $156.69	Professional	26	$66.63	$87.23	$156.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $126.52 / $221.53 / $507.95	Professional	TC	$126.52	$221.53	$507.95