Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.82 / $71.79 / $127.83	Facility	26	$53.82	$71.79	$127.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.47 / $179.96 / $316.93	Professional		$156.47	$179.96	$316.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.54 / $57.92 / $156.22	Professional	26	$51.54	$57.92	$156.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $103.00 / $123.93 / $212.34	Professional	TC	$103.00	$123.93	$212.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.73 / $219.15 / $350.03	Professional		$167.73	$219.15	$350.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.28 / $71.98 / $112.83	Professional	26	$55.28	$71.98	$112.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $113.42 / $146.43 / $247.57	Professional	TC	$113.42	$146.43	$247.57
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.82 / $63.82 / $63.82	Facility	26	$63.82	$63.82	$63.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.19 / $260.83 / $410.26	Professional		$182.19	$260.83	$410.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.54 / $81.54 / $130.06	Professional	26	$58.54	$81.54	$130.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $116.68 / $178.50 / $280.73	Professional	TC	$116.68	$178.50	$280.73
United Facility/Professional Professional Modifier Low / Median / High Price $157.66 / $209.71 / $363.88	Professional		$157.66	$209.71	$363.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.23 / $66.79 / $120.45	Professional	26	$51.23	$66.79	$120.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $106.18 / $140.69 / $255.30	Professional	TC	$106.18	$140.69	$255.30