Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.62 / $109.65 / $316.23	Facility	26	$77.62	$109.65	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $257.04 / $912.01	Professional		$177.83	$257.04	$912.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $91.20 / $275.42	Professional	26	$75.86	$91.20	$275.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $138.04 / $295.12	Professional	TC	$97.72	$138.04	$295.12
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $93.33 / $93.33 / $93.33	Facility	26	$93.33	$93.33	$93.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $251.19 / $512.86	Professional		$181.97	$251.19	$512.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $107.15 / $204.17	Professional	26	$79.43	$107.15	$204.17
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $151.36 / $331.13	Professional	TC	$107.15	$151.36	$331.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $107.15 / $263.03	Facility	26	$19.95	$107.15	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $275.42 / $562.34	Professional		$165.96	$275.42	$562.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $112.20 / $229.09	Professional	26	$63.10	$112.20	$229.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $162.18 / $316.23	Professional	TC	$93.33	$162.18	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $416.87	Professional		$169.82	$223.87	$416.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $95.50 / $177.83	Professional	26	$70.79	$95.50	$177.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $128.82 / $245.47	Professional	TC	$95.50	$128.82	$245.47