Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $89.13 / $239.88	Facility	26	$60.26	$89.13	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $275.42 / $724.44	Professional		$169.82	$275.42	$724.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $85.11 / $208.93	Professional	26	$54.95	$85.11	$208.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $177.83 / $371.54	Professional	TC	$112.20	$177.83	$371.54
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $67.61 / $67.61	Facility	26	$67.61	$67.61	$67.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $281.84 / $575.44	Professional		$173.78	$281.84	$575.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $81.28 / $147.91	Professional	26	$58.88	$81.28	$147.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $204.17 / $436.52	Professional	TC	$120.23	$204.17	$436.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.79 / $77.62 / $190.55	Facility	26	$14.79	$77.62	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $316.23 / $575.44	Professional		$162.18	$316.23	$575.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $83.18 / $169.82	Professional	26	$48.98	$83.18	$169.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $223.87 / $426.58	Professional	TC	$109.65	$223.87	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $257.04 / $467.74	Professional		$165.96	$257.04	$467.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $67.61 / $128.82	Professional	26	$51.29	$67.61	$128.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $173.78 / $346.74	Professional	TC	$109.65	$173.78	$346.74