Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.39 / $101.82 / $137.47	Facility	26	$77.39	$101.82	$137.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.11 / $370.50 / $522.50	Professional		$202.11	$370.50	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.62 / $111.15 / $154.00	Professional	26	$66.62	$111.15	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $133.24 / $208.78 / $348.53	Professional	TC	$133.24	$208.78	$348.53
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $85.01 / $85.01 / $85.01	Facility	26	$85.01	$85.01	$85.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.53 / $291.69 / $490.17	Professional		$216.53	$291.69	$490.17
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $72.15 / $90.72 / $161.81	Professional	26	$72.15	$90.72	$161.81
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $144.37 / $198.35 / $358.28	Professional	TC	$144.37	$198.35	$358.28
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.45 / $86.45 / $86.45	Facility	26	$86.45	$86.45	$86.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.48 / $330.29 / $585.63	Professional		$212.48	$330.29	$585.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.50 / $106.89 / $178.00	Professional	26	$67.50	$106.89	$178.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $140.88 / $223.75 / $388.07	Professional	TC	$140.88	$223.75	$388.07
United Facility/Professional Professional Modifier Low / Median / High Price $235.07 / $458.33 / $1,075.25	Professional		$235.07	$458.33	$1,075.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.63 / $93.05 / $163.84	Professional	26	$69.63	$93.05	$163.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $155.57 / $321.14 / $912.97	Professional	TC	$155.57	$321.14	$912.97