Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.38 / $81.29 / $137.08	Facility	26	$61.38	$81.29	$137.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.85 / $275.00 / $406.55	Professional		$192.85	$275.00	$406.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.83 / $60.93 / $92.60	Professional	26	$53.83	$60.93	$92.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $134.87 / $198.97 / $325.76	Professional	TC	$134.87	$198.97	$325.76
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $67.20 / $67.20 / $67.20	Facility	26	$67.20	$67.20	$67.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.55 / $298.53 / $600.25	Professional		$216.55	$298.53	$600.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.42 / $80.17 / $129.15	Professional	26	$58.42	$80.17	$129.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $158.24 / $232.33 / $463.42	Professional	TC	$158.24	$232.33	$463.42
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.70 / $68.70 / $68.70	Facility	26	$68.70	$68.70	$68.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.25 / $405.11 / $648.14	Professional		$202.25	$405.11	$648.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.40 / $85.96 / $146.38	Professional	26	$53.40	$85.96	$146.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $143.99 / $311.20 / $508.00	Professional	TC	$143.99	$311.20	$508.00
United Facility/Professional Professional Modifier Low / Median / High Price $206.37 / $333.18 / $558.59	Professional		$206.37	$333.18	$558.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.91 / $74.17 / $135.34	Professional	26	$54.91	$74.17	$135.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $147.96 / $255.62 / $441.32	Professional	TC	$147.96	$255.62	$441.32