Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.55 / $33.65 / $63.78	Facility	26	$27.55	$33.65	$63.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.73 / $113.77 / $190.69	Professional		$90.73	$113.77	$190.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.81 / $26.99 / $52.10	Professional	26	$23.81	$26.99	$52.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $66.45 / $88.64 / $133.19	Professional	TC	$66.45	$88.64	$133.19
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $30.69 / $30.69 / $30.69	Facility	26	$30.69	$30.69	$30.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.86 / $127.66 / $248.62	Professional		$93.86	$127.66	$248.62
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.77 / $35.11 / $56.78	Professional	26	$26.77	$35.11	$56.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $69.27 / $92.54 / $192.66	Professional	TC	$69.27	$92.54	$192.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.15 / $32.15 / $32.15	Facility	26	$32.15	$32.15	$32.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.26 / $144.57 / $265.77	Professional		$97.26	$144.57	$265.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.91 / $39.26 / $63.21	Professional	26	$24.91	$39.26	$63.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $72.20 / $108.22 / $207.91	Professional	TC	$72.20	$108.22	$207.91
United Facility/Professional Professional Modifier Low / Median / High Price $96.43 / $131.44 / $231.25	Professional		$96.43	$131.44	$231.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.15 / $34.20 / $65.69	Professional	26	$26.15	$34.20	$65.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $72.20 / $99.84 / $178.96	Professional	TC	$72.20	$99.84	$178.96