Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $51.29 / $123.03	Facility	26	$33.11	$51.29	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $125.89 / $363.08	Professional		$91.20	$125.89	$363.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $57.54 / $138.04	Professional	26	$30.90	$57.54	$138.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $85.11 / $169.82	Professional	TC	$61.66	$85.11	$169.82
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $37.15 / $37.15 / $37.15	Facility	26	$37.15	$37.15	$37.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $125.89 / $239.88	Professional		$93.33	$125.89	$239.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $44.67 / $79.43	Professional	26	$31.62	$44.67	$79.43
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $85.11 / $165.96	Professional	TC	$57.54	$85.11	$165.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $50.12 / $120.23	Facility	26	$9.33	$50.12	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $147.91 / $309.03	Professional		$93.33	$147.91	$309.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $48.98 / $100.00	Professional	26	$29.51	$48.98	$100.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $104.71 / $229.09	Professional	TC	$61.66	$104.71	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $123.03 / $234.42	Professional		$89.13	$123.03	$234.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $41.69 / $77.62	Professional	26	$30.20	$41.69	$77.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $81.28 / $162.18	Professional	TC	$58.88	$81.28	$162.18