Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.66 / $55.35 / $86.23	Facility	26	$46.66	$55.35	$86.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.72 / $155.57 / $286.17	Professional		$129.72	$155.57	$286.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.16 / $49.63 / $87.73	Professional	26	$41.16	$49.63	$87.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $88.49 / $106.60 / $180.06	Professional	TC	$88.49	$106.60	$180.06
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $47.00 / $47.00 / $47.00	Facility	26	$47.00	$47.00	$47.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.82 / $205.74 / $349.49	Professional		$132.82	$205.74	$349.49
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.12 / $62.47 / $108.11	Professional	26	$43.12	$62.47	$108.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $90.26 / $140.22 / $244.40	Professional	TC	$90.26	$140.22	$244.40
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.06 / $49.06 / $49.06	Facility	26	$49.06	$49.06	$49.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.22 / $208.80 / $350.93	Professional		$138.22	$208.80	$350.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.31 / $64.81 / $110.79	Professional	26	$45.31	$64.81	$110.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $94.17 / $143.91 / $238.40	Professional	TC	$94.17	$143.91	$238.40
United Facility/Professional Professional Modifier Low / Median / High Price $135.83 / $200.56 / $317.39	Professional		$135.83	$200.56	$317.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.65 / $59.82 / $95.57	Professional	26	$44.65	$59.82	$95.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $89.21 / $136.02 / $219.53	Professional	TC	$89.21	$136.02	$219.53