Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $85.11 / $234.42	Facility	26	$60.26	$85.11	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $331.13 / $1,148.15	Professional		$229.09	$331.13	$1,148.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $93.33 / $229.09	Professional	26	$54.95	$93.33	$229.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $229.09 / $478.63	Professional	TC	$158.49	$229.09	$478.63
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $67.61 / $67.61	Facility	26	$67.61	$67.61	$67.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $316.23 / $630.96	Professional		$229.09	$316.23	$630.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $81.28 / $147.91	Professional	26	$58.88	$81.28	$147.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $239.88 / $501.19	Professional	TC	$169.82	$239.88	$501.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.79 / $77.62 / $190.55	Facility	26	$14.79	$77.62	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $363.08 / $707.95	Professional		$199.53	$363.08	$707.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $83.18 / $169.82	Professional	26	$48.98	$83.18	$169.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $275.42 / $537.03	Professional	TC	$151.36	$275.42	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $302.00 / $549.54	Professional		$204.17	$302.00	$549.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $69.18 / $131.83	Professional	26	$51.29	$69.18	$131.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $229.09 / $416.87	Professional	TC	$151.36	$229.09	$416.87