Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $91.20 / $275.42	Facility	26	$60.26	$91.20	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $346.74 / $1,000.00	Professional		$208.93	$346.74	$1,000.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $112.20 / $288.40	Professional	26	$58.88	$112.20	$288.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $181.97 / $436.52	Professional	TC	$144.54	$181.97	$436.52
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $66.07 / $66.07 / $66.07	Facility	26	$66.07	$66.07	$66.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $281.84 / $537.03	Professional		$204.17	$281.84	$537.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $87.10 / $162.18	Professional	26	$58.88	$87.10	$162.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $204.17 / $389.05	Professional	TC	$141.25	$204.17	$389.05
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.79 / $79.43 / $190.55	Facility	26	$14.79	$79.43	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $309.03 / $645.65	Professional		$218.78	$309.03	$645.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $91.20 / $177.83	Professional	26	$63.10	$91.20	$177.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $223.87 / $467.74	Professional	TC	$154.88	$223.87	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $269.15 / $478.63	Professional		$199.53	$269.15	$478.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $75.86 / $138.04	Professional	26	$54.95	$75.86	$138.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $190.55 / $354.81	Professional	TC	$138.04	$190.55	$354.81