Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.31 / $56.23 / $158.49	Facility	26	$36.31	$56.23	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $186.21 / $512.86	Professional		$93.33	$186.21	$512.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $74.13 / $218.78	Professional	26	$34.67	$74.13	$218.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $77.62 / $208.93	Professional	TC	$56.23	$77.62	$208.93
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $47.86 / $47.86	Facility	26	$47.86	$47.86	$47.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $117.49 / $213.80	Professional		$81.28	$117.49	$213.80
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $46.77 / $85.11	Professional	26	$33.88	$46.77	$85.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $74.13 / $134.90	Professional	TC	$46.77	$74.13	$134.90
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.77 / $52.48 / $131.83	Facility	26	$9.77	$52.48	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $141.25 / $288.40	Professional		$87.10	$141.25	$288.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $56.23 / $109.65	Professional	26	$33.88	$56.23	$109.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $91.20 / $186.21	Professional	TC	$51.29	$91.20	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $117.49 / $218.78	Professional		$85.11	$117.49	$218.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $44.67 / $83.18	Professional	26	$33.88	$44.67	$83.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $72.44 / $138.04	Professional	TC	$52.48	$72.44	$138.04