Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.73 / $74.47 / $111.49	Facility	26	$61.73	$74.47	$111.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.39 / $159.09 / $260.83	Professional		$110.39	$159.09	$260.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.39 / $65.29 / $98.64	Professional	26	$55.39	$65.29	$98.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $53.11 / $84.63 / $150.93	Professional	TC	$53.11	$84.63	$150.93
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $64.50 / $64.50 / $64.50	Facility	26	$64.50	$64.50	$64.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.71 / $156.36 / $322.10	Professional		$116.71	$156.36	$322.10
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.82 / $70.65 / $119.30	Professional	26	$54.82	$70.65	$119.30
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $58.84 / $97.03 / $185.63	Professional	TC	$58.84	$97.03	$185.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.87 / $67.87 / $67.87	Facility	26	$67.87	$67.87	$67.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.40 / $193.60 / $317.50	Professional		$119.40	$193.60	$317.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.63 / $83.80 / $138.94	Professional	26	$58.63	$83.80	$138.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.14 / $101.63 / $184.98	Professional	TC	$58.14	$101.63	$184.98
United Facility/Professional Professional Modifier Low / Median / High Price $118.91 / $179.73 / $287.70	Professional		$118.91	$179.73	$287.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.11 / $75.38 / $128.25	Professional	26	$58.11	$75.38	$128.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.18 / $98.25 / $159.58	Professional	TC	$58.18	$98.25	$159.58