Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $97.72 / $245.47	Facility	26	$57.54	$97.72	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $151.36 / $398.11	Professional		$107.15	$151.36	$398.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $66.07 / $154.88	Professional	26	$53.70	$66.07	$154.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $64.57 / $165.96	Professional	TC	$52.48	$64.57	$165.96
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $64.57 / $64.57	Facility	26	$64.57	$64.57	$64.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $169.82 / $331.13	Professional		$104.71	$169.82	$331.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $72.44 / $128.82	Professional	26	$50.12	$72.44	$128.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $97.72 / $204.17	Professional	TC	$53.70	$97.72	$204.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.45 / $77.62 / $186.21	Facility	26	$14.45	$77.62	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $194.98 / $354.81	Professional		$114.82	$194.98	$354.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $85.11 / $165.96	Professional	26	$58.88	$85.11	$165.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $112.20 / $204.17	Professional	TC	$57.54	$112.20	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $165.96 / $295.12	Professional		$109.65	$165.96	$295.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $70.79 / $128.82	Professional	26	$52.48	$70.79	$128.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $89.13 / $165.96	Professional	TC	$53.70	$89.13	$165.96