Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.71 / $87.10 / $239.88	Facility	26	$45.71	$87.10	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $213.80 / $549.54	Professional		$173.78	$213.80	$549.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $52.48 / $131.83	Professional	26	$41.69	$52.48	$131.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $162.18 / $302.00	Professional	TC	$125.89	$162.18	$302.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $58.88 / $58.88 / $58.88	Facility	26	$58.88	$58.88	$58.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $275.42 / $562.34	Professional		$173.78	$275.42	$562.34
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $64.57 / $131.83	Professional	26	$47.86	$64.57	$131.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $208.93 / $436.52	Professional	TC	$144.54	$208.93	$436.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.59 / $67.61 / $165.96	Facility	26	$12.59	$67.61	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $316.23 / $630.96	Professional		$177.83	$316.23	$630.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $72.44 / $147.91	Professional	26	$41.69	$72.44	$147.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $229.09 / $457.09	Professional	TC	$131.83	$229.09	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $245.47 / $478.63	Professional		$190.55	$245.47	$478.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $60.26 / $114.82	Professional	26	$45.71	$60.26	$114.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $186.21 / $363.08	Professional	TC	$141.25	$186.21	$363.08