Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $79.43 / $213.80	Facility	26	$54.95	$79.43	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $302.00 / $794.33	Professional		$213.80	$302.00	$794.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $85.11 / $199.53	Professional	26	$52.48	$85.11	$199.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $218.78 / $436.52	Professional	TC	$158.49	$218.78	$436.52
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $61.66 / $61.66	Facility	26	$61.66	$61.66	$61.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $309.03 / $616.60	Professional		$223.87	$309.03	$616.60
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $74.13 / $134.90	Professional	26	$53.70	$74.13	$134.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $234.42 / $478.63	Professional	TC	$173.78	$234.42	$478.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.49 / $70.79 / $173.78	Facility	26	$13.49	$70.79	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $354.81 / $691.83	Professional		$199.53	$354.81	$691.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $75.86 / $154.88	Professional	26	$44.67	$75.86	$154.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $275.42 / $537.03	Professional	TC	$151.36	$275.42	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $281.84 / $524.81	Professional		$204.17	$281.84	$524.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $61.66 / $117.49	Professional	26	$46.77	$61.66	$117.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $223.87 / $407.38	Professional	TC	$151.36	$223.87	$407.38