Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.31 / $63.53 / $119.68	Facility	26	$49.31	$63.53	$119.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.80 / $231.03 / $410.81	Professional		$136.80	$231.03	$410.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.14 / $54.38 / $167.27	Professional	26	$44.14	$54.38	$167.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $84.77 / $168.26 / $261.00	Professional	TC	$84.77	$168.26	$261.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $56.84 / $56.84 / $56.84	Facility	26	$56.84	$56.84	$56.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.86 / $211.49 / $440.46	Professional		$140.86	$211.49	$440.46
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.94 / $65.62 / $116.68	Professional	26	$47.94	$65.62	$116.68
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $92.31 / $149.92 / $327.56	Professional	TC	$92.31	$149.92	$327.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.02 / $54.02 / $54.02	Facility	26	$54.02	$54.02	$54.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.66 / $277.83 / $450.00	Professional		$133.66	$277.83	$450.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.56 / $70.59 / $121.78	Professional	26	$42.56	$70.59	$121.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $92.33 / $190.91 / $340.00	Professional	TC	$92.33	$190.91	$340.00
United Facility/Professional Professional Modifier Low / Median / High Price $142.26 / $224.30 / $393.34	Professional		$142.26	$224.30	$393.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.30 / $62.78 / $109.09	Professional	26	$45.30	$62.78	$109.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $96.13 / $158.02 / $281.44	Professional	TC	$96.13	$158.02	$281.44