Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.43 / $66.51 / $107.71	Facility	26	$52.43	$66.51	$107.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.80 / $225.12 / $378.12	Professional		$134.80	$225.12	$378.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.78 / $55.17 / $145.63	Professional	26	$46.78	$55.17	$145.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $83.55 / $158.41 / $240.00	Professional	TC	$83.55	$158.41	$240.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $57.92 / $57.92 / $57.92	Facility	26	$57.92	$57.92	$57.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.22 / $217.08 / $433.49	Professional		$133.22	$217.08	$433.49
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.13 / $68.51 / $111.93	Professional	26	$50.13	$68.51	$111.93
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $84.38 / $138.28 / $302.12	Professional	TC	$84.38	$138.28	$302.12
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.04 / $59.04 / $59.04	Facility	26	$59.04	$59.04	$59.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.16 / $262.52 / $437.16	Professional		$132.16	$262.52	$437.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.90 / $72.84 / $126.94	Professional	26	$45.90	$72.84	$126.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $82.69 / $168.84 / $323.31	Professional	TC	$82.69	$168.84	$323.31
United Facility/Professional Professional Modifier Low / Median / High Price $131.29 / $207.17 / $369.91	Professional		$131.29	$207.17	$369.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.24 / $63.84 / $112.03	Professional	26	$47.24	$63.84	$112.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $81.03 / $136.47 / $261.89	Professional	TC	$81.03	$136.47	$261.89