Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.23 / $83.18 / $223.87	Facility	26	$56.23	$83.18	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $223.87 / $724.44	Professional		$138.04	$223.87	$724.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $83.18 / $194.98	Professional	26	$52.48	$83.18	$194.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $125.89 / $316.23	Professional	TC	$79.43	$125.89	$316.23
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $63.10 / $63.10 / $63.10	Facility	26	$63.10	$63.10	$63.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $245.47 / $478.63	Professional		$134.90	$245.47	$478.63
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $75.86 / $138.04	Professional	26	$54.95	$75.86	$138.04
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $165.96 / $338.84	Professional	TC	$81.28	$165.96	$338.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.80 / $72.44 / $177.83	Facility	26	$13.80	$72.44	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $251.19 / $467.74	Professional		$125.89	$251.19	$467.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $77.62 / $158.49	Professional	26	$45.71	$77.62	$158.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $162.18 / $323.59	Professional	TC	$75.86	$162.18	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $204.17 / $371.54	Professional		$128.82	$204.17	$371.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $64.57 / $123.03	Professional	26	$47.86	$64.57	$123.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $125.89 / $263.03	Professional	TC	$77.62	$125.89	$263.03