Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.23 / $93.33 / $263.03	Facility	26	$56.23	$93.33	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $154.88 / $316.23	Professional		$107.15	$154.88	$316.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $67.61 / $158.49	Professional	26	$50.12	$67.61	$158.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $75.86 / $218.78	Professional	TC	$48.98	$75.86	$218.78
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $60.26 / $60.26	Facility	26	$60.26	$60.26	$60.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $223.87 / $588.84	Professional		$120.23	$223.87	$588.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $75.86 / $158.49	Professional	26	$57.54	$75.86	$158.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $112.20 / $467.74	Professional	TC	$58.88	$112.20	$467.74
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.60 / $87.10 / $204.17	Facility	26	$16.60	$87.10	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $229.09 / $602.56	Professional		$107.15	$229.09	$602.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $83.18 / $169.82	Professional	26	$50.12	$83.18	$169.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $123.03 / $501.19	Professional	TC	$53.70	$123.03	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $186.21 / $512.86	Professional		$120.23	$186.21	$512.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $72.44 / $134.90	Professional	26	$50.12	$72.44	$134.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $100.00 / $380.19	Professional	TC	$58.88	$100.00	$380.19