Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.77 / $71.50 / $125.19	Facility	26	$55.77	$71.50	$125.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.33 / $274.70 / $392.55	Professional		$163.33	$274.70	$392.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.07 / $59.86 / $161.16	Professional	26	$50.07	$59.86	$161.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $116.52 / $217.64 / $307.75	Professional	TC	$116.52	$217.64	$307.75
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 $180.95 / $260.29 / $508.06	Professional		$180.95	$260.29	$508.06
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.47 / $73.70 / $118.79	Professional	26	$53.47	$73.70	$118.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $124.30 / $188.61 / $368.03	Professional	TC	$124.30	$188.61	$368.03
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 $170.86 / $321.24 / $525.00	Professional		$170.86	$321.24	$525.00
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 $116.40 / $236.16 / $394.99	Professional	TC	$116.40	$236.16	$394.99
United Facility/Professional Professional Modifier Low / Median / High Price $177.02 / $266.56 / $454.46	Professional		$177.02	$266.56	$454.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.31 / $66.86 / $124.24	Professional	26	$50.31	$66.86	$124.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $122.20 / $196.41 / $334.77	Professional	TC	$122.20	$196.41	$334.77