Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.70 / $87.10 / $234.42	Facility	26	$53.70	$87.10	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $281.84 / $616.60	Professional		$173.78	$281.84	$616.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $87.10 / $229.09	Professional	26	$52.48	$87.10	$229.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $204.17 / $426.58	Professional	TC	$123.03	$204.17	$426.58
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $72.44 / $72.44	Facility	26	$72.44	$72.44	$72.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $316.23 / $588.84	Professional		$190.55	$316.23	$588.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $81.28 / $147.91	Professional	26	$53.70	$81.28	$147.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $234.42 / $467.74	Professional	TC	$141.25	$234.42	$467.74
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 $186.21 / $346.74 / $630.96	Professional		$186.21	$346.74	$630.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $81.28 / $158.49	Professional	26	$44.67	$81.28	$158.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $257.04 / $478.63	Professional	TC	$131.83	$257.04	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $288.40 / $524.81	Professional		$194.98	$288.40	$524.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $67.61 / $125.89	Professional	26	$48.98	$67.61	$125.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $218.78 / $407.38	Professional	TC	$141.25	$218.78	$407.38