Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.84 / $42.66 / $104.71	Facility	26	$28.84	$42.66	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $151.36 / $512.86	Professional		$87.10	$151.36	$512.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $47.86 / $134.90	Professional	26	$28.18	$47.86	$134.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $91.20 / $229.09	Professional	TC	$60.26	$91.20	$229.09
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $37.15 / $37.15 / $37.15	Facility	26	$37.15	$37.15	$37.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $123.03 / $223.87	Professional		$95.50	$123.03	$223.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $41.69 / $72.44	Professional	26	$31.62	$41.69	$72.44
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $85.11 / $151.36	Professional	TC	$64.57	$85.11	$151.36
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $42.66 / $104.71	Facility	26	$7.94	$42.66	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $144.54 / $288.40	Professional		$89.13	$144.54	$288.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $44.67 / $87.10	Professional	26	$26.92	$44.67	$87.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $100.00 / $199.53	Professional	TC	$60.26	$100.00	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $120.23 / $218.78	Professional		$87.10	$120.23	$218.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $36.31 / $67.61	Professional	26	$27.54	$36.31	$67.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $83.18 / $151.36	Professional	TC	$58.88	$83.18	$151.36