Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.91 / $75.69 / $142.98	Facility	26	$63.91	$75.69	$142.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.02 / $192.00 / $251.21	Professional		$110.02	$192.00	$251.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.65 / $60.02 / $119.78	Professional	26	$49.65	$60.02	$119.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.62 / $100.35 / $187.06	Professional	TC	$52.62	$100.35	$187.06
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $60.83 / $60.83 / $60.83	Facility	26	$60.83	$60.83	$60.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.34 / $178.56 / $467.57	Professional		$122.34	$178.56	$467.57
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.10 / $74.45 / $128.83	Professional	26	$57.10	$74.45	$128.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $60.33 / $102.95 / $377.12	Professional	TC	$60.33	$102.95	$377.12
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.09 / $77.09 / $77.09	Facility	26	$77.09	$77.09	$77.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.86 / $235.25 / $566.98	Professional		$116.86	$235.25	$566.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.28 / $84.34 / $142.69	Professional	26	$56.28	$84.34	$142.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.46 / $126.59 / $464.18	Professional	TC	$63.46	$126.59	$464.18
United Facility/Professional Professional Modifier Low / Median / High Price $134.40 / $204.20 / $472.24	Professional		$134.40	$204.20	$472.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.48 / $75.62 / $136.46	Professional	26	$55.48	$75.62	$136.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.17 / $104.48 / $319.11	Professional	TC	$66.17	$104.48	$319.11