Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.50 / $111.15 / $185.98	Facility	26	$80.50	$111.15	$185.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.49 / $425.00 / $640.00	Professional		$216.49	$425.00	$640.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.37 / $126.00 / $315.82	Professional	26	$71.37	$126.00	$315.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $156.02 / $299.00 / $441.00	Professional	TC	$156.02	$299.00	$441.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $77.23 / $77.23 / $77.23	Facility	26	$77.23	$77.23	$77.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.02 / $362.65 / $671.38	Professional		$214.02	$362.65	$671.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.80 / $90.80 / $149.17	Professional	26	$66.80	$90.80	$149.17
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $142.61 / $268.87 / $548.99	Professional	TC	$142.61	$268.87	$548.99
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.09 / $79.09 / $79.09	Facility	26	$79.09	$79.09	$79.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.64 / $465.42 / $778.76	Professional		$215.64	$465.42	$778.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.59 / $98.83 / $166.43	Professional	26	$61.59	$98.83	$166.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $146.22 / $316.30 / $630.00	Professional	TC	$146.22	$316.30	$630.00
United Facility/Professional Professional Modifier Low / Median / High Price $211.37 / $366.10 / $672.56	Professional		$211.37	$366.10	$672.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.30 / $86.21 / $156.66	Professional	26	$63.30	$86.21	$156.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $139.72 / $258.00 / $523.82	Professional	TC	$139.72	$258.00	$523.82