Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.98 / $77.62 / $199.53	Facility	26	$48.98	$77.62	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $186.21 / $537.03	Professional		$141.25	$186.21	$537.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $75.86 / $204.17	Professional	26	$46.77	$75.86	$204.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $125.89 / $288.40	Professional	TC	$93.33	$125.89	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $229.09 / $446.68	Professional		$165.96	$229.09	$446.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $75.86 / $138.04	Professional	26	$53.70	$75.86	$138.04
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $154.88 / $316.23	Professional	TC	$112.20	$154.88	$316.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.49 / $77.62 / $239.88	Facility	26	$13.49	$77.62	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $281.84 / $524.81	Professional		$158.49	$281.84	$524.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $87.10 / $162.18	Professional	26	$50.12	$87.10	$162.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $194.98 / $363.08	Professional	TC	$104.71	$194.98	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $208.93 / $407.38	Professional		$154.88	$208.93	$407.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $66.07 / $128.82	Professional	26	$48.98	$66.07	$128.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $144.54 / $281.84	Professional	TC	$102.33	$144.54	$281.84