Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.01 / $105.92 / $167.00	Facility	26	$75.01	$105.92	$167.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.72 / $475.00 / $875.82	Professional		$285.72	$475.00	$875.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.28 / $126.00 / $204.10	Professional	26	$68.28	$126.00	$204.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $242.77 / $335.00 / $514.10	Professional	TC	$242.77	$335.00	$514.10
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $72.18 / $72.18 / $72.18	Facility	26	$72.18	$72.18	$72.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.29 / $391.58 / $812.73	Professional		$296.29	$391.58	$812.73
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.97 / $78.79 / $137.24	Professional	26	$58.97	$78.79	$137.24
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $233.94 / $313.05 / $691.16	Professional	TC	$233.94	$313.05	$691.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.64 / $73.64 / $73.64	Facility	26	$73.64	$73.64	$73.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.73 / $541.62 / $900.78	Professional		$305.73	$541.62	$900.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.27 / $91.68 / $154.84	Professional	26	$57.27	$91.68	$154.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $239.13 / $445.44 / $738.31	Professional	TC	$239.13	$445.44	$738.31
United Facility/Professional Professional Modifier Low / Median / High Price $318.47 / $467.80 / $817.55	Professional		$318.47	$467.80	$817.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.61 / $78.80 / $146.24	Professional	26	$58.61	$78.80	$146.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $247.21 / $380.35 / $659.69	Professional	TC	$247.21	$380.35	$659.69