Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.82 / $39.07 / $56.60	Facility	26	$31.82	$39.07	$56.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.36 / $107.61 / $191.83	Professional		$93.36	$107.61	$191.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.62 / $34.03 / $73.63	Professional	26	$28.62	$34.03	$73.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $63.65 / $74.53 / $130.10	Professional	TC	$63.65	$74.53	$130.10
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $36.43 / $36.43 / $36.43	Facility	26	$36.43	$36.43	$36.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.22 / $124.18 / $214.91	Professional		$99.22	$124.18	$214.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.17 / $39.58 / $67.39	Professional	26	$30.17	$39.58	$67.39
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $69.81 / $87.19 / $148.30	Professional	TC	$69.81	$87.19	$148.30
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.82 / $37.82 / $37.82	Facility	26	$37.82	$37.82	$37.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.94 / $142.63 / $233.02	Professional		$96.94	$142.63	$233.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.70 / $47.28 / $76.73	Professional	26	$29.70	$47.28	$76.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $67.06 / $97.40 / $164.85	Professional	TC	$67.06	$97.40	$164.85
United Facility/Professional Professional Modifier Low / Median / High Price $94.82 / $121.32 / $217.60	Professional		$94.82	$121.32	$217.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.56 / $41.00 / $71.15	Professional	26	$32.56	$41.00	$71.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.87 / $83.73 / $144.97	Professional	TC	$66.87	$83.73	$144.97