Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.23 / $66.23 / $67.40	Facility	26	$66.23	$66.23	$67.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.22 / $174.08 / $184.16	Professional		$131.22	$174.08	$184.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.60 / $67.40 / $93.81	Professional	26	$49.60	$67.40	$93.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $65.86 / $95.47 / $127.16	Professional	TC	$65.86	$95.47	$127.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $362.00 / $595.00 / $595.00	Professional		$362.00	$595.00	$595.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $178.00 / $292.00 / $292.00	Professional	26	$178.00	$292.00	$292.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $184.00 / $303.00 / $303.00	Professional	TC	$184.00	$303.00	$303.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.40 / $220.70 / $347.53	Professional		$163.40	$220.70	$347.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.36 / $94.44 / $164.50	Professional	26	$62.36	$94.44	$164.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $87.02 / $112.77 / $187.43	Professional	TC	$87.02	$112.77	$187.43
United Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $270.00 / $530.21	Professional		$139.19	$270.00	$530.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.52 / $133.11 / $209.32	Professional	26	$48.52	$133.11	$209.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $90.68 / $150.44 / $345.41	Professional	TC	$90.68	$150.44	$345.41