Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.64 / $45.82 / $81.51	Facility	26	$35.64	$45.82	$81.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.01 / $99.72 / $351.00	Professional		$74.01	$99.72	$351.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.34 / $42.75 / $125.61	Professional	26	$33.34	$42.75	$125.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.42 / $54.81 / $93.08	Professional	TC	$40.42	$54.81	$93.08
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $42.41 / $42.41 / $42.41	Facility	26	$42.41	$42.41	$42.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.78 / $106.69 / $170.21	Professional		$81.78	$106.69	$170.21
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.92 / $47.88 / $72.16	Professional	26	$34.92	$47.88	$72.16
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $45.96 / $61.61 / $99.52	Professional	TC	$45.96	$61.61	$99.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.65 / $41.65 / $41.65	Facility	26	$41.65	$41.65	$41.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.78 / $117.92 / $198.98	Professional		$76.78	$117.92	$198.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.36 / $50.38 / $84.43	Professional	26	$33.36	$50.38	$84.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.52 / $69.80 / $118.20	Professional	TC	$43.52	$69.80	$118.20
United Facility/Professional Professional Modifier Low / Median / High Price $81.83 / $97.93 / $168.56	Professional		$81.83	$97.93	$168.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.40 / $42.94 / $76.95	Professional	26	$35.40	$42.94	$76.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.47 / $57.73 / $99.72	Professional	TC	$45.47	$57.73	$99.72