Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.29 / $72.44 / $186.21	Facility	26	$51.29	$72.44	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $218.78 / $691.83	Professional		$131.83	$218.78	$691.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $69.18 / $186.21	Professional	26	$48.98	$69.18	$186.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $125.89 / $295.12	Professional	TC	$81.28	$125.89	$295.12
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $57.54 / $57.54	Facility	26	$57.54	$57.54	$57.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $234.42 / $467.74	Professional		$131.83	$234.42	$467.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $69.18 / $125.89	Professional	26	$50.12	$69.18	$125.89
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $165.96 / $354.81	Professional	TC	$85.11	$165.96	$354.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.59 / $67.61 / $162.18	Facility	26	$12.59	$67.61	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $251.19 / $467.74	Professional		$120.23	$251.19	$467.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $70.79 / $144.54	Professional	26	$41.69	$70.79	$144.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $165.96 / $331.13	Professional	TC	$77.62	$165.96	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $199.53 / $371.54	Professional		$125.89	$199.53	$371.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $58.88 / $112.20	Professional	26	$43.65	$58.88	$112.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $128.82 / $269.15	Professional	TC	$77.62	$128.82	$269.15