Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.54 / $56.94 / $81.96	Facility	26	$47.54	$56.94	$81.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.63 / $252.59 / $436.57	Professional		$206.63	$252.59	$436.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.27 / $49.28 / $88.91	Professional	26	$43.27	$49.28	$88.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.49 / $208.45 / $366.55	Professional	TC	$162.49	$208.45	$366.55
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $50.00 / $50.00 / $50.00	Facility	26	$50.00	$50.00	$50.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.55 / $281.86 / $447.96	Professional		$236.55	$281.86	$447.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.56 / $53.45 / $88.69	Professional	26	$42.56	$53.45	$88.69
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $183.89 / $233.26 / $391.98	Professional	TC	$183.89	$233.26	$391.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.19 / $52.19 / $52.19	Facility	26	$52.19	$52.19	$52.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.68 / $382.57 / $656.72	Professional		$256.68	$382.57	$656.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.84 / $63.66 / $103.42	Professional	26	$44.84	$63.66	$103.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $211.06 / $323.22 / $548.71	Professional	TC	$211.06	$323.22	$548.71
United Facility/Professional Professional Modifier Low / Median / High Price $251.79 / $351.79 / $574.96	Professional		$251.79	$351.79	$574.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.91 / $59.07 / $99.44	Professional	26	$43.91	$59.07	$99.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $215.90 / $293.95 / $480.31	Professional	TC	$215.90	$293.95	$480.31