Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $95.50 / $269.15	Facility	26	$54.95	$95.50	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $331.13 / $776.25	Professional		$245.47	$331.13	$776.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $72.44 / $223.87	Professional	26	$52.48	$72.44	$223.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $269.15 / $549.54	Professional	TC	$199.53	$269.15	$549.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $380.19 / $758.58	Professional		$269.15	$380.19	$758.58
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $81.28 / $154.88	Professional	26	$60.26	$81.28	$154.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $295.12 / $602.56	Professional	TC	$208.93	$295.12	$602.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.49 / $87.10 / $275.42	Facility	26	$15.49	$87.10	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $489.78 / $933.25	Professional		$281.84	$489.78	$933.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $97.72 / $186.21	Professional	26	$56.23	$97.72	$186.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $398.11 / $741.31	Professional	TC	$223.87	$398.11	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $416.87 / $794.33	Professional		$295.12	$416.87	$794.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $85.11 / $162.18	Professional	26	$57.54	$85.11	$162.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $323.59 / $630.96	Professional	TC	$234.42	$323.59	$630.96