Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.00 / $71.87 / $119.94	Facility	26	$55.00	$71.87	$119.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.16 / $272.27 / $451.28	Professional		$154.16	$272.27	$451.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.05 / $65.43 / $170.57	Professional	26	$53.05	$65.43	$170.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $100.80 / $193.59 / $301.27	Professional	TC	$100.80	$193.59	$301.27
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $59.73 / $59.73 / $59.73	Facility	26	$59.73	$59.73	$59.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.40 / $256.31 / $492.34	Professional		$152.40	$256.31	$492.34
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.12 / $72.87 / $132.41	Professional	26	$54.12	$72.87	$132.41
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $103.70 / $178.98 / $351.96	Professional	TC	$103.70	$178.98	$351.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.98 / $60.98 / $60.98	Facility	26	$60.98	$60.98	$60.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.63 / $303.61 / $503.41	Professional		$155.63	$303.61	$503.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.35 / $77.81 / $133.22	Professional	26	$49.35	$77.81	$133.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $101.28 / $208.15 / $372.19	Professional	TC	$101.28	$208.15	$372.19
United Facility/Professional Professional Modifier Low / Median / High Price $152.66 / $251.22 / $426.59	Professional		$152.66	$251.22	$426.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.46 / $70.68 / $126.07	Professional	26	$51.46	$70.68	$126.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $98.80 / $172.11 / $319.18	Professional	TC	$98.80	$172.11	$319.18