Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.48 / $47.86 / $97.72	Facility	26	$35.48	$47.86	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $245.47 / $724.44	Professional		$169.82	$245.47	$724.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $45.71 / $112.20	Professional	26	$33.88	$45.71	$112.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $181.97 / $436.52	Professional	TC	$138.04	$181.97	$436.52
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $42.66 / $42.66 / $42.66	Facility	26	$42.66	$42.66	$42.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $223.87 / $416.87	Professional		$154.88	$223.87	$416.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $40.74 / $72.44	Professional	26	$28.18	$40.74	$72.44
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $181.97 / $338.84	Professional	TC	$131.83	$181.97	$338.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.12 / $48.98 / $117.49	Facility	26	$9.12	$48.98	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $288.40 / $562.34	Professional		$181.97	$288.40	$562.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $47.86 / $104.71	Professional	26	$31.62	$47.86	$104.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $239.88 / $457.09	Professional	TC	$151.36	$239.88	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $245.47 / $436.52	Professional		$173.78	$245.47	$436.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $40.74 / $79.43	Professional	26	$29.51	$40.74	$79.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $204.17 / $363.08	Professional	TC	$138.04	$204.17	$363.08