Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.24 / $79.67 / $128.88	Facility	26	$61.24	$79.67	$128.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.54 / $245.75 / $371.18	Professional		$152.54	$245.75	$371.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.15 / $64.83 / $139.72	Professional	26	$55.15	$64.83	$139.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $93.47 / $173.55 / $241.67	Professional	TC	$93.47	$173.55	$241.67
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 $150.69 / $236.41 / $454.77	Professional		$150.69	$236.41	$454.77
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.25 / $81.48 / $131.43	Professional	26	$59.25	$81.48	$131.43
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $95.93 / $150.49 / $313.13	Professional	TC	$95.93	$150.49	$313.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.44 / $69.44 / $69.44	Facility	26	$69.44	$69.44	$69.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.87 / $272.89 / $448.03	Professional		$154.87	$272.89	$448.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.27 / $84.65 / $145.52	Professional	26	$54.27	$84.65	$145.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $93.49 / $186.07 / $312.48	Professional	TC	$93.49	$186.07	$312.48
United Facility/Professional Professional Modifier Low / Median / High Price $150.38 / $228.40 / $386.25	Professional		$150.38	$228.40	$386.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.83 / $77.20 / $146.01	Professional	26	$55.83	$77.20	$146.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $89.28 / $152.12 / $259.81	Professional	TC	$89.28	$152.12	$259.81