Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.63 / $100.31 / $163.07	Facility	26	$87.63	$100.31	$163.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.66 / $281.74 / $973.53	Professional		$231.66	$281.74	$973.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.34 / $97.12 / $326.00	Professional	26	$79.34	$97.12	$326.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $146.53 / $172.59 / $279.43	Professional	TC	$146.53	$172.59	$279.43
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $88.94 / $88.94 / $88.94	Facility	26	$88.94	$88.94	$88.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.38 / $323.79 / $573.63	Professional		$232.38	$323.79	$573.63
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.79 / $122.25 / $207.05	Professional	26	$83.79	$122.25	$207.05
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $145.43 / $221.94 / $368.91	Professional	TC	$145.43	$221.94	$368.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.46 / $93.46 / $93.46	Facility	26	$93.46	$93.46	$93.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.62 / $347.04 / $583.25	Professional		$240.62	$347.04	$583.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.63 / $123.44 / $210.24	Professional	26	$85.63	$123.44	$210.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $154.21 / $218.28 / $369.69	Professional	TC	$154.21	$218.28	$369.69
United Facility/Professional Professional Modifier Low / Median / High Price $228.25 / $311.57 / $521.19	Professional		$228.25	$311.57	$521.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $84.30 / $118.69 / $187.22	Professional	26	$84.30	$118.69	$187.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $147.08 / $196.01 / $321.57	Professional	TC	$147.08	$196.01	$321.57