Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $87.10 / $234.42	Facility	26	$57.54	$87.10	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $269.15 / $588.84	Professional		$169.82	$269.15	$588.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $79.43 / $208.93	Professional	26	$52.48	$79.43	$208.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $173.78 / $380.19	Professional	TC	$112.20	$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 $181.97 / $295.12 / $562.34	Professional		$181.97	$295.12	$562.34
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $77.62 / $141.25	Professional	26	$56.23	$77.62	$141.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $213.80 / $446.68	Professional	TC	$131.83	$213.80	$446.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.13 / $74.13 / $181.97	Facility	26	$14.13	$74.13	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $331.13 / $588.84	Professional		$169.82	$331.13	$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 / $223.87 / $436.52	Professional	TC	$114.82	$223.87	$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 $114.82 / $190.55 / $363.08	Professional	TC	$114.82	$190.55	$363.08