Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.97 / $73.31 / $132.86	Facility	26	$56.97	$73.31	$132.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.93 / $294.64 / $774.12	Professional		$246.93	$294.64	$774.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.93 / $93.06 / $316.42	Professional	26	$52.93	$93.06	$316.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.34 / $204.52 / $388.49	Professional	TC	$162.34	$204.52	$388.49
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $62.22 / $62.22 / $62.22	Facility	26	$62.22	$62.22	$62.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.41 / $291.99 / $485.00	Professional		$238.41	$291.99	$485.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.98 / $87.48 / $151.61	Professional	26	$53.98	$87.48	$151.61
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $165.39 / $227.17 / $348.21	Professional	TC	$165.39	$227.17	$348.21
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.58 / $62.58 / $62.58	Facility	26	$62.58	$62.58	$62.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.50 / $411.42 / $683.65	Professional		$265.50	$411.42	$683.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.44 / $94.63 / $155.29	Professional	26	$56.44	$94.63	$155.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $206.83 / $320.95 / $529.08	Professional	TC	$206.83	$320.95	$529.08
United Facility/Professional Professional Modifier Low / Median / High Price $264.98 / $379.75 / $639.89	Professional		$264.98	$379.75	$639.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.06 / $89.78 / $142.58	Professional	26	$57.06	$89.78	$142.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $209.20 / $297.89 / $495.99	Professional	TC	$209.20	$297.89	$495.99