Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.46 / $46.89 / $79.97	Facility	26	$39.46	$46.89	$79.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.42 / $144.85 / $188.91	Professional		$84.42	$144.85	$188.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.71 / $39.04 / $69.62	Professional	26	$15.71	$39.04	$69.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.52 / $84.68 / $168.56	Professional	TC	$44.52	$84.68	$168.56
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $18.84 / $18.84 / $18.84	Facility	26	$18.84	$18.84	$18.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.83 / $136.30 / $358.99	Professional		$92.83	$136.30	$358.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.64 / $41.34 / $71.04	Professional	26	$18.64	$41.34	$71.04
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $51.11 / $86.39 / $319.58	Professional	TC	$51.11	$86.39	$319.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.72 / $52.72 / $52.72	Facility	26	$52.72	$52.72	$52.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.05 / $172.98 / $481.90	Professional		$88.05	$172.98	$481.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.34 / $35.61 / $92.45	Professional	26	$19.34	$35.61	$92.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.31 / $107.92 / $463.30	Professional	TC	$54.31	$107.92	$463.30
United Facility/Professional Professional Modifier Low / Median / High Price $96.94 / $150.80 / $414.12	Professional		$96.94	$150.80	$414.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.80 / $49.04 / $90.48	Professional	26	$17.80	$49.04	$90.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.46 / $91.91 / $308.51	Professional	TC	$56.46	$91.91	$308.51