Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.24 / $79.63 / $132.66	Facility	26	$61.24	$79.63	$132.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.32 / $281.67 / $449.34	Professional		$172.32	$281.67	$449.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.86 / $65.70 / $161.90	Professional	26	$54.86	$65.70	$161.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $116.13 / $219.15 / $297.62	Professional	TC	$116.13	$219.15	$297.62
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $67.58 / $67.58 / $67.58	Facility	26	$67.58	$67.58	$67.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.12 / $254.29 / $523.23	Professional		$175.12	$254.29	$523.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.59 / $80.56 / $130.29	Professional	26	$58.59	$80.56	$130.29
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $117.90 / $190.00 / $387.16	Professional	TC	$117.90	$190.00	$387.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.05 / $69.05 / $69.05	Facility	26	$69.05	$69.05	$69.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.68 / $341.90 / $543.00	Professional		$173.68	$341.90	$543.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.68 / $85.96 / $148.37	Professional	26	$53.68	$85.96	$148.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $115.11 / $233.96 / $408.91	Professional	TC	$115.11	$233.96	$408.91
United Facility/Professional Professional Modifier Low / Median / High Price $171.25 / $267.37 / $447.68	Professional		$171.25	$267.37	$447.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.22 / $74.48 / $130.94	Professional	26	$55.22	$74.48	$130.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $112.40 / $187.14 / $336.60	Professional	TC	$112.40	$187.14	$336.60