Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.46 / $33.83 / $52.68	Facility	26	$27.46	$33.83	$52.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.58 / $106.50 / $190.33	Professional		$90.58	$106.50	$190.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.50 / $28.87 / $65.56	Professional	26	$24.50	$28.87	$65.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $65.11 / $78.81 / $133.91	Professional	TC	$65.11	$78.81	$133.91
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $31.88 / $31.88 / $31.88	Facility	26	$31.88	$31.88	$31.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.62 / $122.13 / $199.46	Professional		$99.62	$122.13	$199.46
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.49 / $34.50 / $55.36	Professional	26	$27.49	$34.50	$55.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $72.70 / $90.01 / $145.56	Professional	TC	$72.70	$90.01	$145.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $32.36 / $32.36	Facility	26	$32.36	$32.36	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.52 / $137.68 / $233.70	Professional		$90.52	$137.68	$233.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.52 / $39.06 / $63.60	Professional	26	$25.52	$39.06	$63.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $65.79 / $98.51 / $170.82	Professional	TC	$65.79	$98.51	$170.82
United Facility/Professional Professional Modifier Low / Median / High Price $97.30 / $120.00 / $208.45	Professional		$97.30	$120.00	$208.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.29 / $34.93 / $66.31	Professional	26	$27.29	$34.93	$66.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $68.70 / $86.21 / $150.25	Professional	TC	$68.70	$86.21	$150.25