Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.40 / $89.75 / $123.80	Facility	26	$73.40	$89.75	$123.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.91 / $229.24 / $598.26	Professional		$184.91	$229.24	$598.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.00 / $80.40 / $303.00	Professional	26	$67.00	$80.40	$303.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $115.22 / $148.83 / $220.68	Professional	TC	$115.22	$148.83	$220.68
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $74.23 / $74.23 / $74.23	Facility	26	$74.23	$74.23	$74.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.94 / $249.34 / $405.99	Professional		$176.94	$249.34	$405.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.37 / $94.16 / $161.10	Professional	26	$63.37	$94.16	$161.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $107.42 / $155.63 / $275.98	Professional	TC	$107.42	$155.63	$275.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.01 / $78.01 / $78.01	Facility	26	$78.01	$78.01	$78.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.54 / $274.80 / $482.42	Professional		$180.54	$274.80	$482.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.48 / $102.72 / $175.56	Professional	26	$71.48	$102.72	$175.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $107.84 / $177.56 / $307.95	Professional	TC	$107.84	$177.56	$307.95
United Facility/Professional Professional Modifier Low / Median / High Price $176.88 / $243.90 / $412.69	Professional		$176.88	$243.90	$412.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.63 / $97.14 / $153.36	Professional	26	$70.63	$97.14	$153.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $108.12 / $159.80 / $270.75	Professional	TC	$108.12	$159.80	$270.75