Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $104.71 / $323.59	Facility	26	$67.61	$104.71	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $245.47 / $933.25	Professional		$177.83	$245.47	$933.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $95.50 / $316.23	Professional	26	$64.57	$95.50	$316.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $147.91 / $288.40	Professional	TC	$109.65	$147.91	$288.40
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $74.13 / $74.13 / $74.13	Facility	26	$74.13	$74.13	$74.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $229.09 / $489.78	Professional		$154.88	$229.09	$489.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $93.33 / $181.97	Professional	26	$58.88	$93.33	$181.97
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $134.90 / $302.00	Professional	TC	$93.33	$134.90	$302.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.60 / $89.13 / $208.93	Facility	26	$16.60	$89.13	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $275.42 / $549.54	Professional		$177.83	$275.42	$549.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $102.33 / $199.53	Professional	26	$70.79	$102.33	$199.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $177.83 / $363.08	Professional	TC	$104.71	$177.83	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $229.09 / $416.87	Professional		$162.18	$229.09	$416.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $87.10 / $154.88	Professional	26	$61.66	$87.10	$154.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $144.54 / $269.15	Professional	TC	$97.72	$144.54	$269.15