Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.51 / $74.18 / $143.57	Facility	26	$56.51	$74.18	$143.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.72 / $282.66 / $604.52	Professional		$163.72	$282.66	$604.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $62.68 / $210.87	Professional	26	$51.30	$62.68	$210.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $113.94 / $220.00 / $362.33	Professional	TC	$113.94	$220.00	$362.33
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $66.14 / $66.14 / $66.14	Facility	26	$66.14	$66.14	$66.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.49 / $262.73 / $509.06	Professional		$178.49	$262.73	$509.06
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.42 / $76.30 / $126.28	Professional	26	$55.42	$76.30	$126.28
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $120.24 / $194.52 / $390.21	Professional	TC	$120.24	$194.52	$390.21
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.24 / $63.24 / $63.24	Facility	26	$63.24	$63.24	$63.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.19 / $333.50 / $541.00	Professional		$171.19	$333.50	$541.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.77 / $81.02 / $143.41	Professional	26	$49.77	$81.02	$143.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $116.40 / $244.00 / $409.00	Professional	TC	$116.40	$244.00	$409.00
United Facility/Professional Professional Modifier Low / Median / High Price $179.29 / $278.89 / $463.19	Professional		$179.29	$278.89	$463.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.17 / $72.13 / $127.76	Professional	26	$54.17	$72.13	$127.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $117.73 / $197.31 / $349.73	Professional	TC	$117.73	$197.31	$349.73