Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.88 / $71.72 / $123.68	Facility	26	$55.88	$71.72	$123.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.40 / $284.45 / $495.07	Professional		$223.40	$284.45	$495.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.07 / $58.92 / $153.26	Professional	26	$50.07	$58.92	$153.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $164.42 / $220.00 / $348.53	Professional	TC	$164.42	$220.00	$348.53
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $61.80 / $61.80 / $61.80	Facility	26	$61.80	$61.80	$61.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.82 / $294.45 / $599.28	Professional		$230.82	$294.45	$599.28
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.47 / $73.70 / $118.44	Professional	26	$53.47	$73.70	$118.44
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $171.08 / $221.81 / $472.40	Professional	TC	$171.08	$221.81	$472.40
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.89 / $62.89 / $62.89	Facility	26	$62.89	$62.89	$62.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.09 / $360.78 / $584.54	Professional		$220.09	$360.78	$584.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.90 / $78.31 / $135.07	Professional	26	$48.90	$78.31	$135.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $170.00 / $277.92 / $463.14	Professional	TC	$170.00	$277.92	$463.14
United Facility/Professional Professional Modifier Low / Median / High Price $212.77 / $297.82 / $498.76	Professional		$212.77	$297.82	$498.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.31 / $70.65 / $136.12	Professional	26	$50.31	$70.65	$136.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $158.59 / $230.80 / $407.60	Professional	TC	$158.59	$230.80	$407.60