Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $87.10 / $223.87	Facility	26	$60.26	$87.10	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $257.04 / $724.44	Professional		$158.49	$257.04	$724.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $93.33 / $218.78	Professional	26	$56.23	$93.33	$218.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $158.49 / $331.13	Professional	TC	$100.00	$158.49	$331.13
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 $162.18 / $251.19 / $501.19	Professional		$162.18	$251.19	$501.19
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 $107.15 / $181.97 / $354.81	Professional	TC	$107.15	$181.97	$354.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.79 / $79.43 / $194.98	Facility	26	$14.79	$79.43	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $302.00 / $549.54	Professional		$162.18	$302.00	$549.54
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 $102.33 / $204.17 / $398.11	Professional	TC	$102.33	$204.17	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $251.19 / $457.09	Professional		$169.82	$251.19	$457.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $69.18 / $131.83	Professional	26	$51.29	$69.18	$131.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $181.97 / $331.13	Professional	TC	$114.82	$181.97	$331.13