Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.69 / $75.28 / $132.01	Facility	26	$58.69	$75.28	$132.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $275.00 / $450.50	Professional		$171.00	$275.00	$450.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.46 / $61.24 / $133.97	Professional	26	$52.46	$61.24	$133.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $113.55 / $214.72 / $299.24	Professional	TC	$113.55	$214.72	$299.24
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $64.68 / $64.68 / $64.68	Facility	26	$64.68	$64.68	$64.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.02 / $264.08 / $514.05	Professional		$184.02	$264.08	$514.05
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.15 / $77.16 / $123.71	Professional	26	$56.15	$77.16	$123.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $129.50 / $193.80 / $390.69	Professional	TC	$129.50	$193.80	$390.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.98 / $65.98 / $65.98	Facility	26	$65.98	$65.98	$65.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.02 / $342.90 / $539.25	Professional		$173.02	$342.90	$539.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.32 / $81.03 / $138.40	Professional	26	$51.32	$81.03	$138.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $115.74 / $246.36 / $418.90	Professional	TC	$115.74	$246.36	$418.90
United Facility/Professional Professional Modifier Low / Median / High Price $175.40 / $275.51 / $486.56	Professional		$175.40	$275.51	$486.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.08 / $71.64 / $130.66	Professional	26	$53.08	$71.64	$130.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $118.36 / $198.47 / $354.52	Professional	TC	$118.36	$198.47	$354.52