Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.47 / $80.09 / $136.27	Facility	26	$61.47	$80.09	$136.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.88 / $259.57 / $394.26	Professional		$160.88	$259.57	$394.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.15 / $69.65 / $176.88	Professional	26	$55.15	$69.65	$176.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $177.61 / $291.63	Professional	TC	$100.00	$177.61	$291.63
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $67.94 / $67.94 / $67.94	Facility	26	$67.94	$67.94	$67.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.45 / $242.25 / $465.59	Professional		$164.45	$242.25	$465.59
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.25 / $81.02 / $131.08	Professional	26	$59.25	$81.02	$131.08
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $104.45 / $166.82 / $333.21	Professional	TC	$104.45	$166.82	$333.21
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.79 / $69.79 / $69.79	Facility	26	$69.79	$69.79	$69.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.37 / $312.14 / $512.54	Professional		$165.37	$312.14	$512.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.27 / $85.14 / $143.63	Professional	26	$54.27	$85.14	$143.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $111.81 / $215.02 / $380.30	Professional	TC	$111.81	$215.02	$380.30
United Facility/Professional Professional Modifier Low / Median / High Price $177.09 / $265.73 / $467.51	Professional		$177.09	$265.73	$467.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.52 / $73.80 / $134.38	Professional	26	$55.52	$73.80	$134.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $120.26 / $197.45 / $323.92	Professional	TC	$120.26	$197.45	$323.92