Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.69 / $63.10 / $165.96	Facility	26	$41.69	$63.10	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $223.87 / $588.84	Professional		$117.49	$223.87	$588.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $83.18 / $204.17	Professional	26	$41.69	$83.18	$204.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $104.71 / $245.47	Professional	TC	$72.44	$104.71	$245.47
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $53.70 / $53.70 / $53.70	Facility	26	$53.70	$53.70	$53.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $162.18 / $288.40	Professional		$123.03	$162.18	$288.40
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $63.10 / $107.15	Professional	26	$45.71	$63.10	$107.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $104.71 / $186.21	Professional	TC	$77.62	$104.71	$186.21
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.48 / $61.66 / $151.36	Facility	26	$11.48	$61.66	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $186.21 / $363.08	Professional		$109.65	$186.21	$363.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $66.07 / $125.89	Professional	26	$39.81	$66.07	$125.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $120.23 / $239.88	Professional	TC	$74.13	$120.23	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $151.36 / $275.42	Professional		$112.20	$151.36	$275.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $52.48 / $97.72	Professional	26	$39.81	$52.48	$97.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $97.72 / $181.97	Professional	TC	$72.44	$97.72	$181.97