Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $67.61 / $181.97	Facility	26	$47.86	$67.61	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $239.88 / $758.58	Professional		$131.83	$239.88	$758.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $54.95 / $181.97	Professional	26	$43.65	$54.95	$181.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $141.25 / $316.23	Professional	TC	$83.18	$141.25	$316.23
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $56.23 / $56.23 / $56.23	Facility	26	$56.23	$56.23	$56.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $239.88 / $489.78	Professional		$134.90	$239.88	$489.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $69.18 / $123.03	Professional	26	$47.86	$69.18	$123.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $177.83 / $371.54	Professional	TC	$91.20	$177.83	$371.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.48 / $61.66 / $151.36	Facility	26	$11.48	$61.66	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $263.03 / $489.78	Professional		$131.83	$263.03	$489.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $69.18 / $138.04	Professional	26	$38.90	$69.18	$138.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $173.78 / $354.81	Professional	TC	$85.11	$173.78	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $218.78 / $389.05	Professional		$134.90	$218.78	$389.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $56.23 / $107.15	Professional	26	$41.69	$56.23	$107.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $147.91 / $288.40	Professional	TC	$91.20	$147.91	$288.40