Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.35 / $50.72 / $93.45	Facility	26	$39.35	$50.72	$93.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.35 / $219.03 / $632.78	Professional		$139.35	$219.03	$632.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.54 / $57.14 / $173.30	Professional	26	$36.54	$57.14	$173.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $99.68 / $162.12 / $250.91	Professional	TC	$99.68	$162.12	$250.91
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $42.49 / $42.49 / $42.49	Facility	26	$42.49	$42.49	$42.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.58 / $189.05 / $305.37	Professional		$144.58	$189.05	$305.37
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.25 / $58.28 / $101.37	Professional	26	$37.25	$58.28	$101.37
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $111.53 / $143.12 / $231.01	Professional	TC	$111.53	$143.12	$231.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.24 / $43.24 / $43.24	Facility	26	$43.24	$43.24	$43.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.58 / $242.29 / $403.09	Professional		$160.58	$242.29	$403.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.02 / $63.63 / $105.83	Professional	26	$39.02	$63.63	$105.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $119.07 / $179.33 / $289.86	Professional	TC	$119.07	$179.33	$289.86
United Facility/Professional Professional Modifier Low / Median / High Price $156.01 / $231.39 / $358.96	Professional		$156.01	$231.39	$358.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.61 / $59.64 / $96.41	Professional	26	$39.61	$59.64	$96.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $117.68 / $164.36 / $266.22	Professional	TC	$117.68	$164.36	$266.22