Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.90 / $69.95 / $122.10	Facility	26	$54.90	$69.95	$122.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.97 / $232.72 / $370.52	Professional		$149.97	$232.72	$370.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.57 / $56.66 / $140.53	Professional	26	$48.57	$56.66	$140.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $96.63 / $183.84 / $240.00	Professional	TC	$96.63	$183.84	$240.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $59.73 / $59.73 / $59.73	Facility	26	$59.73	$59.73	$59.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.34 / $236.86 / $457.13	Professional		$148.34	$236.86	$457.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.13 / $72.42 / $115.33	Professional	26	$52.13	$72.42	$115.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $97.73 / $158.57 / $332.51	Professional	TC	$97.73	$158.57	$332.51
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.34 / $61.34 / $61.34	Facility	26	$61.34	$61.34	$61.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.01 / $280.54 / $457.00	Professional		$146.01	$280.54	$457.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.70 / $75.59 / $126.99	Professional	26	$47.70	$75.59	$126.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $96.28 / $192.10 / $331.76	Professional	TC	$96.28	$192.10	$331.76
United Facility/Professional Professional Modifier Low / Median / High Price $145.63 / $227.03 / $405.27	Professional		$145.63	$227.03	$405.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.08 / $65.48 / $116.43	Professional	26	$49.08	$65.48	$116.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $95.08 / $158.63 / $289.45	Professional	TC	$95.08	$158.63	$289.45