Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.48 / $64.83 / $105.32	Facility	26	$48.48	$64.83	$105.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.65 / $231.03 / $436.50	Professional		$134.65	$231.03	$436.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.14 / $52.29 / $144.57	Professional	26	$44.14	$52.29	$144.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $86.11 / $161.90 / $257.52	Professional	TC	$86.11	$161.90	$257.52
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 $139.79 / $210.47 / $438.32	Professional		$139.79	$210.47	$438.32
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.97 / $64.45 / $114.27	Professional	26	$46.97	$64.45	$114.27
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $91.25 / $148.87 / $326.38	Professional	TC	$91.25	$148.87	$326.38
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 $133.02 / $276.08 / $446.08	Professional		$133.02	$276.08	$446.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.06 / $69.51 / $118.33	Professional	26	$42.06	$69.51	$118.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $91.41 / $189.73 / $340.00	Professional	TC	$91.41	$189.73	$340.00
United Facility/Professional Professional Modifier Low / Median / High Price $141.62 / $233.07 / $387.76	Professional		$141.62	$233.07	$387.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.18 / $60.81 / $103.36	Professional	26	$45.18	$60.81	$103.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $94.05 / $157.80 / $286.13	Professional	TC	$94.05	$157.80	$286.13