Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.87 / $45.60 / $83.13	Facility	26	$34.87	$45.60	$83.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.20 / $152.13 / $278.29	Professional		$125.20	$152.13	$278.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.50 / $36.59 / $96.90	Professional	26	$30.50	$36.59	$96.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $96.24 / $116.68 / $207.79	Professional	TC	$96.24	$116.68	$207.79
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $40.06 / $40.06 / $40.06	Facility	26	$40.06	$40.06	$40.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.66 / $176.53 / $286.34	Professional		$137.66	$176.53	$286.34
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.61 / $44.64 / $71.64	Professional	26	$34.61	$44.64	$71.64
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $101.01 / $133.88 / $217.02	Professional	TC	$101.01	$133.88	$217.02
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.92 / $40.92 / $40.92	Facility	26	$40.92	$40.92	$40.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.37 / $188.57 / $337.76	Professional		$125.37	$188.57	$337.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.39 / $49.01 / $81.27	Professional	26	$31.39	$49.01	$81.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $91.62 / $143.86 / $257.36	Professional	TC	$91.62	$143.86	$257.36
United Facility/Professional Professional Modifier Low / Median / High Price $132.50 / $166.25 / $292.77	Professional		$132.50	$166.25	$292.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.22 / $42.00 / $71.51	Professional	26	$34.22	$42.00	$71.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $98.41 / $124.80 / $222.69	Professional	TC	$98.41	$124.80	$222.69