Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.39 / $34.67 / $87.10	Facility	26	$22.39	$34.67	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $128.82 / $338.84	Professional		$89.13	$128.82	$338.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $33.88 / $93.33	Professional	26	$21.88	$33.88	$93.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $95.50 / $194.98	Professional	TC	$67.61	$95.50	$194.98
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $28.18 / $28.18 / $28.18	Facility	26	$28.18	$28.18	$28.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $120.23 / $239.88	Professional		$77.62	$120.23	$239.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $33.88 / $57.54	Professional	26	$22.39	$33.88	$57.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $93.33 / $186.21	Professional	TC	$48.98	$93.33	$186.21
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.17 / $33.11 / $79.43	Facility	26	$6.17	$33.11	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $144.54 / $331.13	Professional		$85.11	$144.54	$331.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $35.48 / $69.18	Professional	26	$20.89	$35.48	$69.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $114.82 / $269.15	Professional	TC	$58.88	$114.82	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $128.82 / $245.47	Professional		$79.43	$128.82	$245.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $28.18 / $52.48	Professional	26	$21.38	$28.18	$52.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $102.33 / $199.53	Professional	TC	$56.23	$102.33	$199.53