Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $61.66 / $162.18	Facility	26	$40.74	$61.66	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $199.53 / $562.34	Professional		$102.33	$199.53	$562.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $81.28 / $199.53	Professional	26	$40.74	$81.28	$199.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $85.11 / $245.47	Professional	TC	$57.54	$85.11	$245.47
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $53.70 / $53.70 / $53.70	Facility	26	$53.70	$53.70	$53.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $144.54 / $257.04	Professional		$109.65	$144.54	$257.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $60.26 / $104.71	Professional	26	$45.71	$60.26	$104.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $85.11 / $154.88	Professional	TC	$67.61	$85.11	$154.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.48 / $61.66 / $147.91	Facility	26	$11.48	$61.66	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $162.18 / $316.23	Professional		$97.72	$162.18	$316.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $64.57 / $125.89	Professional	26	$39.81	$64.57	$125.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $100.00 / $194.98	Professional	TC	$57.54	$100.00	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $131.83 / $239.88	Professional		$100.00	$131.83	$239.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $52.48 / $97.72	Professional	26	$38.90	$52.48	$97.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $81.28 / $147.91	Professional	TC	$58.88	$81.28	$147.91