Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $114.82 / $288.40	Facility	26	$61.66	$114.82	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $275.42 / $588.84	Professional		$190.55	$275.42	$588.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $64.57 / $154.88	Professional	26	$51.29	$64.57	$154.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $194.98 / $501.19	Professional	TC	$141.25	$194.98	$501.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $323.59 / $758.58	Professional		$208.93	$323.59	$758.58
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $74.13 / $134.90	Professional	26	$50.12	$74.13	$134.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $239.88 / $676.08	Professional	TC	$147.91	$239.88	$676.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.79 / $85.11 / $245.47	Facility	26	$14.79	$85.11	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $416.87 / $812.83	Professional		$199.53	$416.87	$812.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $91.20 / $177.83	Professional	26	$51.29	$91.20	$177.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $309.03 / $676.08	Professional	TC	$147.91	$309.03	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $346.74 / $724.44	Professional		$199.53	$346.74	$724.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $69.18 / $138.04	Professional	26	$48.98	$69.18	$138.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $257.04 / $616.60	Professional	TC	$144.54	$257.04	$616.60