Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.17 / $38.29 / $56.85	Facility	26	$29.17	$38.29	$56.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.42 / $125.23 / $488.86	Professional		$87.42	$125.23	$488.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.71 / $40.81 / $121.86	Professional	26	$27.71	$40.81	$121.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $58.64 / $84.53 / $138.75	Professional	TC	$58.64	$84.53	$138.75
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $34.28 / $34.28 / $34.28	Facility	26	$34.28	$34.28	$34.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.19 / $113.69 / $193.97	Professional		$92.19	$113.69	$193.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.36 / $36.54 / $58.06	Professional	26	$28.36	$36.54	$58.06
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.80 / $79.70 / $138.29	Professional	TC	$64.80	$79.70	$138.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.36 / $34.36 / $34.36	Facility	26	$34.36	$34.36	$34.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.59 / $131.29 / $221.58	Professional		$80.59	$131.29	$221.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.71 / $42.00 / $70.22	Professional	26	$26.71	$42.00	$70.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $48.15 / $86.24 / $154.61	Professional	TC	$48.15	$86.24	$154.61
United Facility/Professional Professional Modifier Low / Median / High Price $86.58 / $117.51 / $199.77	Professional		$86.58	$117.51	$199.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.94 / $35.14 / $63.25	Professional	26	$28.94	$35.14	$63.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $55.73 / $81.78 / $140.11	Professional	TC	$55.73	$81.78	$140.11