Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $93.33 / $257.04	Facility	26	$57.54	$93.33	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $263.03 / $562.34	Professional		$169.82	$263.03	$562.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $81.28 / $213.80	Professional	26	$52.48	$81.28	$213.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $173.78 / $380.19	Professional	TC	$114.82	$173.78	$380.19
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $64.57 / $64.57	Facility	26	$64.57	$64.57	$64.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $295.12 / $575.44	Professional		$177.83	$295.12	$575.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $77.62 / $138.04	Professional	26	$56.23	$77.62	$138.04
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $213.80 / $446.68	Professional	TC	$123.03	$213.80	$446.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.13 / $75.86 / $181.97	Facility	26	$14.13	$75.86	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $323.59 / $588.84	Professional		$165.96	$323.59	$588.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $79.43 / $162.18	Professional	26	$46.77	$79.43	$162.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $229.09 / $436.52	Professional	TC	$114.82	$229.09	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $263.03 / $478.63	Professional		$169.82	$263.03	$478.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $66.07 / $125.89	Professional	26	$48.98	$66.07	$125.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $190.55 / $363.08	Professional	TC	$117.49	$190.55	$363.08