Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $85.11 / $223.87	Facility	26	$54.95	$85.11	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $245.47 / $524.81	Professional		$123.03	$245.47	$524.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $79.43 / $181.97	Professional	26	$51.29	$79.43	$181.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $204.17 / $416.87	Professional	TC	$138.04	$204.17	$416.87
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $61.66 / $61.66	Facility	26	$61.66	$61.66	$61.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $295.12 / $562.34	Professional		$204.17	$295.12	$562.34
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $72.44 / $131.83	Professional	26	$53.70	$72.44	$131.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $218.78 / $436.52	Professional	TC	$154.88	$218.78	$436.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.49 / $70.79 / $173.78	Facility	26	$13.49	$70.79	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $323.59 / $616.60	Professional		$181.97	$323.59	$616.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $75.86 / $154.88	Professional	26	$44.67	$75.86	$154.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $245.47 / $467.74	Professional	TC	$138.04	$245.47	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $269.15 / $489.78	Professional		$190.55	$269.15	$489.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $61.66 / $117.49	Professional	26	$46.77	$61.66	$117.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $204.17 / $371.54	Professional	TC	$141.25	$204.17	$371.54