Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.66 / $66.07 / $204.17	Facility	26	$42.66	$66.07	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $158.49 / $354.81	Professional		$123.03	$158.49	$354.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $51.29 / $144.54	Professional	26	$39.81	$51.29	$144.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $107.15 / $223.87	Professional	TC	$81.28	$107.15	$223.87
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $46.77 / $46.77 / $46.77	Facility	26	$46.77	$46.77	$46.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $208.93 / $389.05	Professional		$120.23	$208.93	$389.05
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $64.57 / $120.23	Professional	26	$41.69	$64.57	$120.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $144.54 / $269.15	Professional	TC	$81.28	$144.54	$269.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.47 / $56.23 / $134.90	Facility	26	$10.47	$56.23	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $218.78 / $407.38	Professional		$134.90	$218.78	$407.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $64.57 / $125.89	Professional	26	$44.67	$64.57	$125.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $151.36 / $288.40	Professional	TC	$93.33	$151.36	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $181.97 / $323.59	Professional		$123.03	$181.97	$323.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $54.95 / $97.72	Professional	26	$39.81	$54.95	$97.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $123.03 / $223.87	Professional	TC	$83.18	$123.03	$223.87