Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.13 / $67.13 / $67.24	Facility	26	$67.13	$67.13	$67.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.19 / $299.21 / $710.82	Professional		$216.19	$299.21	$710.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.68 / $57.85 / $147.05	Professional	26	$45.68	$57.85	$147.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $139.80 / $246.63 / $604.38	Professional	TC	$139.80	$246.63	$604.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.04 / $295.97 / $676.96	Professional		$167.04	$295.97	$676.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.78 / $63.71 / $125.08	Professional	26	$26.78	$63.71	$125.08
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $140.26 / $210.18 / $575.64	Professional	TC	$140.26	$210.18	$575.64
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $218.92 / $243.03 / $243.03	Facility	26	$218.92	$243.03	$243.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.30 / $247.61 / $623.60	Professional		$118.30	$247.61	$623.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.60 / $60.82 / $114.02	Professional	26	$31.60	$60.82	$114.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $83.84 / $188.29 / $526.33	Professional	TC	$83.84	$188.29	$526.33
United Facility/Professional Professional Modifier Low / Median / High Price $196.31 / $348.90 / $700.03	Professional		$196.31	$348.90	$700.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.96 / $66.14 / $125.81	Professional	26	$39.96	$66.14	$125.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $134.32 / $273.27 / $585.29	Professional	TC	$134.32	$273.27	$585.29