Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.77 / $71.37 / $124.49	Facility	26	$55.77	$71.37	$124.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.77 / $272.22 / $434.90	Professional		$190.77	$272.22	$434.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.07 / $58.49 / $122.07	Professional	26	$50.07	$58.49	$122.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $144.15 / $220.00 / $324.20	Professional	TC	$144.15	$220.00	$324.20
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 $203.10 / $278.39 / $564.41	Professional		$203.10	$278.39	$564.41
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.47 / $73.70 / $118.23	Professional	26	$53.47	$73.70	$118.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $148.94 / $210.97 / $437.84	Professional	TC	$148.94	$210.97	$437.84
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 $198.49 / $329.88 / $551.39	Professional		$198.49	$329.88	$551.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.90 / $78.31 / $133.09	Professional	26	$48.90	$78.31	$133.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $145.16 / $251.83 / $422.74	Professional	TC	$145.16	$251.83	$422.74
United Facility/Professional Professional Modifier Low / Median / High Price $203.33 / $282.52 / $483.62	Professional		$203.33	$282.52	$483.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.31 / $66.40 / $119.38	Professional	26	$50.31	$66.40	$119.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.35 / $217.09 / $367.88	Professional	TC	$144.35	$217.09	$367.88