Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.71 / $75.25 / $119.94	Facility	26	$55.71	$75.25	$119.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.89 / $310.22 / $466.36	Professional		$180.89	$310.22	$466.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.37 / $66.05 / $146.03	Professional	26	$53.37	$66.05	$146.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $127.36 / $225.45 / $355.65	Professional	TC	$127.36	$225.45	$355.65
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $73.26 / $73.26 / $73.26	Facility	26	$73.26	$73.26	$73.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.38 / $298.79 / $550.14	Professional		$196.38	$298.79	$550.14
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.96 / $79.59 / $139.72	Professional	26	$54.96	$79.59	$139.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $140.98 / $221.47 / $414.82	Professional	TC	$140.98	$221.47	$414.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.34 / $61.34 / $61.34	Facility	26	$61.34	$61.34	$61.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.35 / $350.21 / $596.97	Professional		$189.35	$350.21	$596.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.00 / $82.50 / $141.37	Professional	26	$50.00	$82.50	$141.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $144.91 / $267.94 / $451.63	Professional	TC	$144.91	$267.94	$451.63
United Facility/Professional Professional Modifier Low / Median / High Price $204.30 / $306.30 / $510.88	Professional		$204.30	$306.30	$510.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.24 / $71.50 / $128.37	Professional	26	$52.24	$71.50	$128.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $148.91 / $235.85 / $395.63	Professional	TC	$148.91	$235.85	$395.63