Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.91 / $80.23 / $132.01	Facility	26	$58.91	$80.23	$132.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.97 / $296.25 / $459.18	Professional		$219.97	$296.25	$459.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.46 / $61.07 / $105.07	Professional	26	$52.46	$61.07	$105.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $164.47 / $225.34 / $362.21	Professional	TC	$164.47	$225.34	$362.21
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $64.68 / $64.68 / $64.68	Facility	26	$64.68	$64.68	$64.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.87 / $315.08 / $701.85	Professional		$238.87	$315.08	$701.85
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.15 / $77.16 / $123.48	Professional	26	$56.15	$77.16	$123.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $181.67 / $249.15 / $582.41	Professional	TC	$181.67	$249.15	$582.41
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.64 / $65.64 / $65.64	Facility	26	$65.64	$65.64	$65.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.97 / $424.80 / $693.34	Professional		$244.97	$424.80	$693.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.32 / $82.15 / $142.66	Professional	26	$51.32	$82.15	$142.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $191.50 / $331.60 / $560.76	Professional	TC	$191.50	$331.60	$560.76
United Facility/Professional Professional Modifier Low / Median / High Price $243.96 / $358.20 / $607.77	Professional		$243.96	$358.20	$607.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.96 / $72.80 / $135.06	Professional	26	$52.96	$72.80	$135.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $183.90 / $283.70 / $498.33	Professional	TC	$183.90	$283.70	$498.33