Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.70 / $62.88 / $103.89	Facility	26	$48.70	$62.88	$103.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.32 / $158.36 / $269.58	Professional		$122.32	$158.36	$269.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.14 / $49.15 / $87.66	Professional	26	$42.14	$49.15	$87.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $76.72 / $103.82 / $165.99	Professional	TC	$76.72	$103.82	$165.99
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $52.14 / $52.14 / $52.14	Facility	26	$52.14	$52.14	$52.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.72 / $154.42 / $305.01	Professional		$127.72	$154.42	$305.01
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.86 / $61.59 / $99.12	Professional	26	$44.86	$61.59	$99.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $106.46 / $203.60	Professional	TC	$79.43	$106.46	$203.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.84 / $51.84 / $51.84	Facility	26	$51.84	$51.84	$51.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.43 / $212.88 / $361.09	Professional		$129.43	$212.88	$361.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.54 / $64.04 / $109.49	Professional	26	$40.54	$64.04	$109.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $84.48 / $148.34 / $245.48	Professional	TC	$84.48	$148.34	$245.48
United Facility/Professional Professional Modifier Low / Median / High Price $128.04 / $187.40 / $308.56	Professional		$128.04	$187.40	$308.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.03 / $55.94 / $99.36	Professional	26	$42.03	$55.94	$99.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $84.77 / $130.56 / $214.82	Professional	TC	$84.77	$130.56	$214.82