Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.28 / $131.83 / $363.08	Facility	26	$81.28	$131.83	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $295.12 / $758.58	Professional		$218.78	$295.12	$758.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $100.00 / $275.42	Professional	26	$67.61	$100.00	$275.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $199.53 / $346.74	Professional	TC	$141.25	$199.53	$346.74
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $91.20 / $91.20 / $91.20	Facility	26	$91.20	$91.20	$91.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $302.00 / $588.84	Professional		$208.93	$302.00	$588.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $102.33 / $194.98	Professional	26	$77.62	$102.33	$194.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $204.17 / $407.38	Professional	TC	$112.20	$204.17	$407.38
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 $204.17 / $346.74 / $691.83	Professional		$204.17	$346.74	$691.83
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 $138.04 / $234.42 / $457.09	Professional	TC	$138.04	$234.42	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $288.40 / $537.03	Professional		$213.80	$288.40	$537.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $93.33 / $177.83	Professional	26	$69.18	$93.33	$177.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $194.98 / $371.54	Professional	TC	$138.04	$194.98	$371.54