Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $79.43 / $213.80	Facility	26	$54.95	$79.43	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $208.93 / $512.86	Professional		$107.15	$208.93	$512.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $89.13 / $229.09	Professional	26	$51.29	$89.13	$229.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $173.78 / $371.54	Professional	TC	$112.20	$173.78	$371.54
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $61.66 / $61.66	Facility	26	$61.66	$61.66	$61.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $281.84 / $537.03	Professional		$173.78	$281.84	$537.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $74.13 / $131.83	Professional	26	$53.70	$74.13	$131.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $208.93 / $416.87	Professional	TC	$123.03	$208.93	$416.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.49 / $70.79 / $173.78	Facility	26	$13.49	$70.79	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $309.03 / $562.34	Professional		$165.96	$309.03	$562.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $75.86 / $154.88	Professional	26	$44.67	$75.86	$154.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $223.87 / $416.87	Professional	TC	$114.82	$223.87	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $251.19 / $457.09	Professional		$165.96	$251.19	$457.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $61.66 / $117.49	Professional	26	$46.77	$61.66	$117.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $186.21 / $346.74	Professional	TC	$117.49	$186.21	$346.74