Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $158.49 / $398.11	Facility	26	$83.18	$158.49	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $323.59 / $724.44	Professional		$239.88	$323.59	$724.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $91.20 / $251.19	Professional	26	$66.07	$91.20	$251.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $218.78 / $501.19	Professional	TC	$158.49	$218.78	$501.19
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $95.50 / $95.50 / $95.50	Facility	26	$95.50	$95.50	$95.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $380.19 / $851.14	Professional		$257.04	$380.19	$851.14
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $97.72 / $204.17	Professional	26	$72.44	$97.72	$204.17
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $281.84 / $645.65	Professional	TC	$190.55	$281.84	$645.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $109.65 / $269.15	Facility	26	$20.89	$109.65	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $489.78 / $933.25	Professional		$263.03	$489.78	$933.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $114.82 / $234.42	Professional	26	$69.18	$114.82	$234.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $371.54 / $724.44	Professional	TC	$190.55	$371.54	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $416.87 / $758.58	Professional		$275.42	$416.87	$758.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $95.50 / $181.97	Professional	26	$72.44	$95.50	$181.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $309.03 / $575.44	Professional	TC	$194.98	$309.03	$575.44