Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $57.54 / $147.91	Facility	26	$32.36	$57.54	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $151.36 / $389.05	Professional		$102.33	$151.36	$389.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $38.90 / $120.23	Professional	26	$28.18	$38.90	$120.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $117.49 / $229.09	Professional	TC	$89.13	$117.49	$229.09
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $39.81 / $39.81 / $39.81	Facility	26	$39.81	$39.81	$39.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $165.96 / $295.12	Professional		$120.23	$165.96	$295.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $43.65 / $77.62	Professional	26	$34.67	$43.65	$77.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $125.89 / $223.87	Professional	TC	$83.18	$125.89	$223.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.71 / $46.77 / $112.20	Facility	26	$8.71	$46.77	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $194.98 / $389.05	Professional		$120.23	$194.98	$389.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $48.98 / $95.50	Professional	26	$29.51	$48.98	$95.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $144.54 / $295.12	Professional	TC	$89.13	$144.54	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $158.49 / $302.00	Professional		$114.82	$158.49	$302.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $39.81 / $74.13	Professional	26	$29.51	$39.81	$74.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $120.23 / $229.09	Professional	TC	$87.10	$120.23	$229.09