Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.58 / $30.79 / $52.41	Facility	26	$24.58	$30.79	$52.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.81 / $113.74 / $220.59	Professional		$82.81	$113.74	$220.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.71 / $26.11 / $74.97	Professional	26	$22.71	$26.11	$74.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.92 / $90.38 / $167.75	Professional	TC	$59.92	$90.38	$167.75
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $28.24 / $28.24 / $28.24	Facility	26	$28.24	$28.24	$28.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.68 / $137.59 / $226.70	Professional		$94.68	$137.59	$226.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.30 / $34.59 / $50.96	Professional	26	$24.30	$34.59	$50.96
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $71.22 / $106.91 / $172.69	Professional	TC	$71.22	$106.91	$172.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.92 / $28.92 / $28.92	Facility	26	$28.92	$28.92	$28.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.54 / $138.34 / $266.68	Professional		$86.54	$138.34	$266.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.74 / $36.27 / $58.71	Professional	26	$22.74	$36.27	$58.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $59.42 / $108.23 / $216.17	Professional	TC	$59.42	$108.23	$216.17
United Facility/Professional Professional Modifier Low / Median / High Price $84.87 / $131.37 / $245.10	Professional		$84.87	$131.37	$245.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.94 / $30.60 / $53.24	Professional	26	$23.94	$30.60	$53.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.02 / $104.30 / $193.37	Professional	TC	$61.02	$104.30	$193.37