Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.80 / $65.67 / $124.95	Facility	26	$48.80	$65.67	$124.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.65 / $221.75 / $375.00	Professional		$134.65	$221.75	$375.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.14 / $52.10 / $120.15	Professional	26	$44.14	$52.10	$120.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $86.77 / $168.26 / $231.46	Professional	TC	$86.77	$168.26	$231.46
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $53.23 / $53.23 / $53.23	Facility	26	$53.23	$53.23	$53.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.51 / $211.49 / $440.46	Professional		$140.51	$211.49	$440.46
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.97 / $64.34 / $114.02	Professional	26	$46.97	$64.34	$114.02
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $91.96 / $149.50 / $327.42	Professional	TC	$91.96	$149.50	$327.42
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 $133.34 / $277.58 / $453.27	Professional		$133.34	$277.58	$453.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.06 / $69.51 / $117.12	Professional	26	$42.06	$69.51	$117.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $86.16 / $192.10 / $340.00	Professional	TC	$86.16	$192.10	$340.00
United Facility/Professional Professional Modifier Low / Median / High Price $142.41 / $227.49 / $389.69	Professional		$142.41	$227.49	$389.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.59 / $60.71 / $107.71	Professional	26	$44.59	$60.71	$107.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $95.52 / $158.84 / $281.44	Professional	TC	$95.52	$158.84	$281.44