Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.67 / $53.70 / $138.04	Facility	26	$34.67	$53.70	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $288.40 / $891.25	Professional		$208.93	$288.40	$891.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $53.70 / $138.04	Professional	26	$33.88	$53.70	$138.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $239.88 / $575.44	Professional	TC	$177.83	$239.88	$575.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $309.03 / $630.96	Professional		$204.17	$309.03	$630.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $54.95 / $100.00	Professional	26	$38.90	$54.95	$100.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $263.03 / $524.81	Professional	TC	$165.96	$263.03	$524.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.77 / $54.95 / $169.82	Facility	26	$9.77	$54.95	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $407.38 / $794.33	Professional		$218.78	$407.38	$794.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $63.10 / $114.82	Professional	26	$35.48	$63.10	$114.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $354.81 / $676.08	Professional	TC	$186.21	$354.81	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $309.03 / $645.65	Professional		$204.17	$309.03	$645.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $47.86 / $93.33	Professional	26	$34.67	$47.86	$93.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $269.15 / $549.54	Professional	TC	$169.82	$269.15	$549.54