Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $104.71 / $275.42	Facility	26	$60.26	$104.71	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $275.42 / $660.69	Professional		$177.83	$275.42	$660.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $72.44 / $154.88	Professional	26	$54.95	$72.44	$154.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $177.83 / $380.19	Professional	TC	$120.23	$177.83	$380.19
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 $181.97 / $316.23 / $630.96	Professional		$181.97	$316.23	$630.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $85.11 / $154.88	Professional	26	$58.88	$85.11	$154.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $229.09 / $478.63	Professional	TC	$125.89	$229.09	$478.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.45 / $77.62 / $190.55	Facility	26	$14.45	$77.62	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $354.81 / $645.65	Professional		$173.78	$354.81	$645.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $87.10 / $173.78	Professional	26	$50.12	$87.10	$173.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $251.19 / $489.78	Professional	TC	$123.03	$251.19	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $288.40 / $524.81	Professional		$173.78	$288.40	$524.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $70.79 / $131.83	Professional	26	$52.48	$70.79	$131.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $199.53 / $398.11	Professional	TC	$120.23	$199.53	$398.11