Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.70 / $79.43 / $213.80	Facility	26	$53.70	$79.43	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $263.03 / $645.65	Professional		$151.36	$263.03	$645.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $87.10 / $223.87	Professional	26	$51.29	$87.10	$223.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $158.49 / $407.38	Professional	TC	$100.00	$158.49	$407.38
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $60.26 / $60.26	Facility	26	$60.26	$60.26	$60.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $275.42 / $524.81	Professional		$151.36	$275.42	$524.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $77.62 / $141.25	Professional	26	$53.70	$77.62	$141.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $190.55 / $398.11	Professional	TC	$107.15	$190.55	$398.11
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 $144.54 / $295.12 / $537.03	Professional		$144.54	$295.12	$537.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $77.62 / $154.88	Professional	26	$44.67	$77.62	$154.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $199.53 / $398.11	Professional	TC	$95.50	$199.53	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $234.42 / $426.58	Professional		$144.54	$234.42	$426.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $63.10 / $120.23	Professional	26	$46.77	$63.10	$120.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $158.49 / $323.59	Professional	TC	$95.50	$158.49	$323.59