Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $99.16 / $104.88 / $119.82	Facility	26	$99.16	$104.88	$119.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.08 / $171.61 / $514.00	Professional		$130.08	$171.61	$514.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.04 / $86.63 / $124.21	Professional	26	$75.04	$86.63	$124.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $55.03 / $83.00 / $130.10	Professional	TC	$55.03	$83.00	$130.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.67 / $223.25 / $223.25	Professional		$168.67	$223.25	$223.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $84.65 / $112.03 / $112.03	Professional	26	$84.65	$112.03	$112.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $84.03 / $111.21 / $111.21	Professional	TC	$84.03	$111.21	$111.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.70 / $103.54 / $193.55	Professional		$83.70	$103.54	$193.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.94 / $186.56 / $297.56	Professional		$126.94	$186.56	$297.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.01 / $116.20 / $154.41	Professional	26	$79.01	$116.20	$154.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.78 / $95.56 / $143.15	Professional	TC	$40.78	$95.56	$143.15
United Facility/Professional Professional Modifier Low / Median / High Price $116.32 / $172.89 / $368.68	Professional		$116.32	$172.89	$368.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.91 / $102.20 / $156.76	Professional	26	$68.91	$102.20	$156.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.61 / $84.25 / $152.19	Professional	TC	$37.61	$84.25	$152.19