Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.71 / $83.18 / $208.93	Facility	26	$45.71	$83.18	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $162.18 / $346.74	Professional		$117.49	$162.18	$346.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $54.95 / $125.89	Professional	26	$42.66	$54.95	$125.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $104.71 / $229.09	Professional	TC	$74.13	$104.71	$229.09
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $52.48 / $52.48 / $52.48	Facility	26	$52.48	$52.48	$52.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $177.83 / $363.08	Professional		$104.71	$177.83	$363.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $61.66 / $109.65	Professional	26	$44.67	$61.66	$109.65
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $114.82 / $251.19	Professional	TC	$57.54	$114.82	$251.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.96 / $58.88 / $144.54	Facility	26	$10.96	$58.88	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $213.80 / $407.38	Professional		$120.23	$213.80	$407.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $63.10 / $131.83	Professional	26	$35.48	$63.10	$131.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $147.91 / $281.84	Professional	TC	$79.43	$147.91	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $316.23	Professional		$123.03	$173.78	$316.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $52.48 / $100.00	Professional	26	$38.90	$52.48	$100.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $120.23 / $218.78	Professional	TC	$83.18	$120.23	$218.78