Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.15 / $55.22 / $102.10	Facility	26	$45.15	$55.22	$102.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.45 / $140.69 / $262.00	Professional		$109.45	$140.69	$262.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.91 / $46.35 / $108.11	Professional	26	$29.91	$46.35	$108.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.54 / $99.05 / $177.61	Professional	TC	$79.54	$99.05	$177.61
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $36.81 / $36.81 / $36.81	Facility	26	$36.81	$36.81	$36.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.62 / $165.34 / $273.04	Professional		$127.62	$165.34	$273.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.08 / $47.08 / $83.52	Professional	26	$36.08	$47.08	$83.52
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $93.14 / $120.34 / $194.65	Professional	TC	$93.14	$120.34	$194.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.98 / $55.98 / $55.98	Facility	26	$55.98	$55.98	$55.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.08 / $190.40 / $330.92	Professional		$119.08	$190.40	$330.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.11 / $53.17 / $102.18	Professional	26	$35.11	$53.17	$102.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $82.00 / $140.49 / $244.93	Professional	TC	$82.00	$140.49	$244.93
United Facility/Professional Professional Modifier Low / Median / High Price $124.82 / $163.24 / $297.60	Professional		$124.82	$163.24	$297.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.81 / $53.66 / $99.98	Professional	26	$33.81	$53.66	$99.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $88.54 / $118.36 / $209.61	Professional	TC	$88.54	$118.36	$209.61