Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.18 / $48.98 / $141.25	Facility	26	$28.18	$48.98	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $177.83 / $446.68	Professional		$112.20	$177.83	$446.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $42.66 / $125.89	Professional	26	$26.92	$42.66	$125.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $104.71 / $213.80	Professional	TC	$70.79	$104.71	$213.80
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $34.67 / $34.67 / $34.67	Facility	26	$34.67	$34.67	$34.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $144.54 / $295.12	Professional		$91.20	$144.54	$295.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $39.81 / $72.44	Professional	26	$29.51	$39.81	$72.44
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $107.15 / $234.42	Professional	TC	$64.57	$107.15	$234.42
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $41.69 / $104.71	Facility	26	$7.94	$41.69	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $181.97 / $478.63	Professional		$104.71	$181.97	$478.63
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 $70.79 / $147.91 / $398.11	Professional	TC	$70.79	$147.91	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $154.88 / $288.40	Professional		$97.72	$154.88	$288.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $36.31 / $66.07	Professional	26	$27.54	$36.31	$66.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $120.23 / $229.09	Professional	TC	$69.18	$120.23	$229.09