Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.60 / $83.25 / $136.47	Facility	26	$61.60	$83.25	$136.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.54 / $275.00 / $506.67	Professional		$180.54	$275.00	$506.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $67.68 / $117.18	Professional	26	$55.00	$67.68	$117.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $122.85 / $214.37 / $375.94	Professional	TC	$122.85	$214.37	$375.94
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $67.20 / $67.20 / $67.20	Facility	26	$67.20	$67.20	$67.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.32 / $297.17 / $554.94	Professional		$185.32	$297.17	$554.94
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.59 / $80.93 / $143.73	Professional	26	$58.59	$80.93	$143.73
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $126.73 / $212.80 / $408.45	Professional	TC	$126.73	$212.80	$408.45
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.70 / $68.70 / $68.70	Facility	26	$68.70	$68.70	$68.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.49 / $368.13 / $624.38	Professional		$188.49	$368.13	$624.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.22 / $88.18 / $148.37	Professional	26	$55.22	$88.18	$148.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $129.38 / $258.56 / $487.46	Professional	TC	$129.38	$258.56	$487.46
United Facility/Professional Professional Modifier Low / Median / High Price $183.62 / $309.39 / $514.57	Professional		$183.62	$309.39	$514.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.66 / $77.76 / $130.31	Professional	26	$57.66	$77.76	$130.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $123.39 / $227.02 / $397.45	Professional	TC	$123.39	$227.02	$397.45