Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $131.83 / $263.03	Facility	26	$100.00	$131.83	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $213.80 / $630.96	Professional		$165.96	$213.80	$630.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $120.23 / $331.13	Professional	26	$95.50	$120.23	$331.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $81.28 / $147.91	Professional	TC	$67.61	$81.28	$147.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $199.53 / $354.81	Professional		$141.25	$199.53	$354.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $114.82 / $208.93	Professional	26	$81.28	$114.82	$208.93
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $87.10 / $162.18	Professional	TC	$61.66	$87.10	$162.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.12 / $134.90 / $363.08	Facility	26	$25.12	$134.90	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $269.15 / $549.54	Professional		$177.83	$269.15	$549.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $154.88 / $323.59	Professional	26	$104.71	$154.88	$323.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $117.49 / $234.42	Professional	TC	$72.44	$117.49	$234.42
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 $93.33 / $128.82 / $239.88	Professional	26	$93.33	$128.82	$239.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $100.00 / $177.83	Professional	TC	$70.79	$100.00	$177.83