Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.24 / $39.11 / $73.15	Facility	26	$31.24	$39.11	$73.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.98 / $145.22 / $367.04	Professional		$116.98	$145.22	$367.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.04 / $34.08 / $98.95	Professional	26	$28.04	$34.08	$98.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $84.42 / $99.56 / $189.78	Professional	TC	$84.42	$99.56	$189.78
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $34.82 / $34.82 / $34.82	Facility	26	$34.82	$34.82	$34.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.63 / $161.41 / $286.76	Professional		$122.63	$161.41	$286.76
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.09 / $38.15 / $62.81	Professional	26	$30.09	$38.15	$62.81
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $89.87 / $119.60 / $223.69	Professional	TC	$89.87	$119.60	$223.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.04 / $37.04 / $37.04	Facility	26	$37.04	$37.04	$37.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.20 / $180.26 / $369.42	Professional		$111.20	$180.26	$369.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.15 / $44.95 / $74.72	Professional	26	$29.15	$44.95	$74.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $72.19 / $138.28 / $302.31	Professional	TC	$72.19	$138.28	$302.31
United Facility/Professional Professional Modifier Low / Median / High Price $109.88 / $159.88 / $306.54	Professional		$109.88	$159.88	$306.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.30 / $37.72 / $64.93	Professional	26	$31.30	$37.72	$64.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $79.53 / $125.59 / $241.05	Professional	TC	$79.53	$125.59	$241.05