Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.31 / $54.95 / $134.90	Facility	26	$36.31	$54.95	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $144.54 / $398.11	Professional		$104.71	$144.54	$398.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $57.54 / $117.49	Professional	26	$30.90	$57.54	$117.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $97.72 / $213.80	Professional	TC	$74.13	$97.72	$213.80
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 $102.33 / $141.25 / $275.42	Professional		$102.33	$141.25	$275.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $45.71 / $83.18	Professional	26	$34.67	$45.71	$83.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $97.72 / $190.55	Professional	TC	$64.57	$97.72	$190.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.23 / $54.95 / $134.90	Facility	26	$10.23	$54.95	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $165.96 / $354.81	Professional		$104.71	$165.96	$354.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $51.29 / $109.65	Professional	26	$30.90	$51.29	$109.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $123.03 / $263.03	Professional	TC	$72.44	$123.03	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $141.25 / $269.15	Professional		$100.00	$141.25	$269.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $45.71 / $85.11	Professional	26	$30.20	$45.71	$85.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $95.50 / $186.21	Professional	TC	$69.18	$95.50	$186.21