Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.25 / $100.95 / $173.58	Facility	26	$87.25	$100.95	$173.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.52 / $240.33 / $322.92	Professional		$143.52	$240.33	$322.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.82 / $79.39 / $138.49	Professional	26	$56.82	$79.39	$138.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $62.15 / $123.47 / $232.83	Professional	TC	$62.15	$123.47	$232.83
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $69.13 / $69.13 / $69.13	Facility	26	$69.13	$69.13	$69.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.91 / $232.06 / $571.46	Professional		$162.91	$232.06	$571.46
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $72.14 / $101.55 / $165.02	Professional	26	$72.14	$101.55	$165.02
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $71.20 / $139.94 / $445.33	Professional	TC	$71.20	$139.94	$445.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $105.26 / $105.26 / $105.26	Facility	26	$105.26	$105.26	$105.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.27 / $307.44 / $616.53	Professional		$154.27	$307.44	$616.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.42 / $104.19 / $197.95	Professional	26	$68.42	$104.19	$197.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $71.80 / $164.76 / $499.23	Professional	TC	$71.80	$164.76	$499.23
United Facility/Professional Professional Modifier Low / Median / High Price $169.37 / $256.22 / $528.69	Professional		$169.37	$256.22	$528.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.33 / $98.82 / $188.66	Professional	26	$64.33	$98.82	$188.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $76.29 / $129.81 / $360.21	Professional	TC	$76.29	$129.81	$360.21