Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.88 / $87.10 / $234.42	Facility	26	$58.88	$87.10	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $234.42 / $645.65	Professional		$151.36	$234.42	$645.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $85.11 / $199.53	Professional	26	$54.95	$85.11	$199.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $138.04 / $316.23	Professional	TC	$91.20	$138.04	$316.23
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 $151.36 / $251.19 / $467.74	Professional		$151.36	$251.19	$467.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $81.28 / $147.91	Professional	26	$58.88	$81.28	$147.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $169.82 / $331.13	Professional	TC	$97.72	$169.82	$331.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.79 / $79.43 / $190.55	Facility	26	$14.79	$79.43	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $269.15 / $489.78	Professional		$144.54	$269.15	$489.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $83.18 / $169.82	Professional	26	$48.98	$83.18	$169.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $177.83 / $331.13	Professional	TC	$87.10	$177.83	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $218.78 / $389.05	Professional		$141.25	$218.78	$389.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $69.18 / $131.83	Professional	26	$52.48	$69.18	$131.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $141.25 / $269.15	Professional	TC	$87.10	$141.25	$269.15