Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.23 / $93.33 / $281.84	Facility	26	$56.23	$93.33	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $177.83 / $363.08	Professional		$151.36	$177.83	$363.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $61.66 / $144.54	Professional	26	$52.48	$61.66	$144.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $114.82 / $208.93	Professional	TC	$93.33	$114.82	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $245.47 / $524.81	Professional		$134.90	$245.47	$524.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $69.18 / $120.23	Professional	26	$47.86	$69.18	$120.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $162.18 / $407.38	Professional	TC	$83.18	$162.18	$407.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.13 / $75.86 / $181.97	Facility	26	$14.13	$75.86	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $407.38 / $851.14	Professional		$269.15	$407.38	$851.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $79.43 / $162.18	Professional	26	$56.23	$79.43	$162.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $331.13 / $707.95	Professional	TC	$218.78	$331.13	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $346.74 / $645.65	Professional		$257.04	$346.74	$645.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $67.61 / $125.89	Professional	26	$50.12	$67.61	$125.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $281.84 / $537.03	Professional	TC	$204.17	$281.84	$537.03