Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.03 / $80.34 / $118.15	Facility	26	$65.03	$80.34	$118.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.53 / $255.31 / $876.00	Professional		$215.53	$255.31	$876.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.81 / $74.72 / $271.10	Professional	26	$59.81	$74.72	$271.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $152.06 / $168.03 / $291.83	Professional	TC	$152.06	$168.03	$291.83
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $66.66 / $66.66 / $66.66	Facility	26	$66.66	$66.66	$66.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.44 / $279.80 / $479.82	Professional		$213.44	$279.80	$479.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.89 / $87.57 / $147.41	Professional	26	$60.89	$87.57	$147.41
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $150.41 / $197.61 / $370.76	Professional	TC	$150.41	$197.61	$370.76
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.50 / $69.50 / $69.50	Facility	26	$69.50	$69.50	$69.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.11 / $310.44 / $567.66	Professional		$223.11	$310.44	$567.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.69 / $90.80 / $153.30	Professional	26	$63.69	$90.80	$153.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $160.83 / $221.83 / $394.34	Professional	TC	$160.83	$221.83	$394.34
United Facility/Professional Professional Modifier Low / Median / High Price $220.85 / $283.30 / $474.21	Professional		$220.85	$283.30	$474.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.57 / $85.39 / $136.59	Professional	26	$62.57	$85.39	$136.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $154.93 / $211.87 / $352.27	Professional	TC	$154.93	$211.87	$352.27