Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.25 / $58.35 / $91.22	Facility	26	$45.25	$58.35	$91.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.14 / $146.07 / $506.20	Professional		$104.14	$146.07	$506.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.48 / $60.77 / $178.04	Professional	26	$42.48	$60.77	$178.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.89 / $82.44 / $137.02	Professional	TC	$59.89	$82.44	$137.02
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $53.24 / $53.24 / $53.24	Facility	26	$53.24	$53.24	$53.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.89 / $148.46 / $232.70	Professional		$112.89	$148.46	$232.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $45.89 / $60.69 / $93.22	Professional	26	$45.89	$60.69	$93.22
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $67.60 / $86.00 / $140.54	Professional	TC	$67.60	$86.00	$140.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.62 / $53.62 / $53.62	Facility	26	$53.62	$53.62	$53.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.18 / $159.80 / $274.94	Professional		$105.18	$159.80	$274.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.17 / $65.47 / $107.51	Professional	26	$43.17	$65.47	$107.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.01 / $96.98 / $167.24	Professional	TC	$61.01	$96.98	$167.24
United Facility/Professional Professional Modifier Low / Median / High Price $112.06 / $137.41 / $239.88	Professional		$112.06	$137.41	$239.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.61 / $55.27 / $93.76	Professional	26	$45.61	$55.27	$93.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $67.39 / $82.29 / $144.41	Professional	TC	$67.39	$82.29	$144.41