Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.55 / $58.51 / $100.26	Facility	26	$45.55	$58.51	$100.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.11 / $160.63 / $556.21	Professional		$119.11	$160.63	$556.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.55 / $58.67 / $178.04	Professional	26	$42.55	$58.67	$178.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $76.56 / $99.56 / $187.07	Professional	TC	$76.56	$99.56	$187.07
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $53.87 / $53.87 / $53.87	Facility	26	$53.87	$53.87	$53.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.58 / $160.04 / $261.18	Professional		$128.58	$160.04	$261.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.21 / $62.34 / $95.40	Professional	26	$46.21	$62.34	$95.40
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $81.02 / $102.97 / $171.78	Professional	TC	$81.02	$102.97	$171.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.96 / $53.96 / $53.96	Facility	26	$53.96	$53.96	$53.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.06 / $183.48 / $307.76	Professional		$121.06	$183.48	$307.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.37 / $65.59 / $107.81	Professional	26	$43.37	$65.59	$107.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $77.97 / $119.50 / $200.94	Professional	TC	$77.97	$119.50	$200.94
United Facility/Professional Professional Modifier Low / Median / High Price $128.30 / $154.78 / $266.13	Professional		$128.30	$154.78	$266.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.21 / $55.00 / $94.96	Professional	26	$45.21	$55.00	$94.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $82.34 / $100.83 / $178.35	Professional	TC	$82.34	$100.83	$178.35