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 / $169.82	Facility	26	$47.86	$67.61	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $239.88 / $831.76	Professional		$128.82	$239.88	$831.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $61.66 / $190.55	Professional	26	$43.65	$61.66	$190.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $138.04 / $316.23	Professional	TC	$81.28	$138.04	$316.23
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $53.70 / $53.70 / $53.70	Facility	26	$53.70	$53.70	$53.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $239.88 / $489.78	Professional		$131.83	$239.88	$489.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $67.61 / $123.03	Professional	26	$47.86	$67.61	$123.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $173.78 / $371.54	Professional	TC	$91.20	$173.78	$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 / $67.61 / $134.90	Professional	26	$38.90	$67.61	$134.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $177.83 / $346.74	Professional	TC	$85.11	$177.83	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $213.80 / $389.05	Professional		$134.90	$213.80	$389.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $56.23 / $104.71	Professional	26	$40.74	$56.23	$104.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $147.91 / $288.40	Professional	TC	$91.20	$147.91	$288.40