Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.29 / $66.07 / $141.25	Facility	26	$51.29	$66.07	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $177.83 / $512.86	Professional		$134.90	$177.83	$512.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $74.13 / $169.82	Professional	26	$47.86	$74.13	$169.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $109.65 / $229.09	Professional	TC	$85.11	$109.65	$229.09
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $43.65 / $43.65 / $54.95	Facility	26	$43.65	$43.65	$54.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $165.96 / $323.59	Professional		$128.82	$165.96	$323.59
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $57.54 / $114.82	Professional	26	$46.77	$57.54	$114.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $107.15 / $208.93	Professional	TC	$85.11	$107.15	$208.93
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.59 / $66.07 / $162.18	Facility	26	$12.59	$66.07	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $204.17 / $407.38	Professional		$120.23	$204.17	$407.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $70.79 / $141.25	Professional	26	$39.81	$70.79	$141.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $128.82 / $269.15	Professional	TC	$75.86	$128.82	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $165.96 / $316.23	Professional		$125.89	$165.96	$316.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $57.54 / $109.65	Professional	26	$43.65	$57.54	$109.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $107.15 / $208.93	Professional	TC	$81.28	$107.15	$208.93