Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.70 / $83.18 / $234.42	Facility	26	$53.70	$83.18	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $229.09 / $501.19	Professional		$144.54	$229.09	$501.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $72.44 / $186.21	Professional	26	$50.12	$72.44	$186.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $141.25 / $338.84	Professional	TC	$93.33	$141.25	$338.84
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $60.26 / $60.26	Facility	26	$60.26	$60.26	$60.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $251.19 / $489.78	Professional		$147.91	$251.19	$489.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $72.44 / $131.83	Professional	26	$52.48	$72.44	$131.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $177.83 / $363.08	Professional	TC	$100.00	$177.83	$363.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.18 / $69.18 / $169.82	Facility	26	$13.18	$69.18	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $269.15 / $489.78	Professional		$138.04	$269.15	$489.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $74.13 / $151.36	Professional	26	$43.65	$74.13	$151.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $186.21 / $354.81	Professional	TC	$91.20	$186.21	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $218.78 / $398.11	Professional		$138.04	$218.78	$398.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $60.26 / $114.82	Professional	26	$45.71	$60.26	$114.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $147.91 / $281.84	Professional	TC	$91.20	$147.91	$281.84