Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.71 / $81.28 / $218.78	Facility	26	$45.71	$81.28	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $107.15 / $331.13	Professional		$75.86	$107.15	$331.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $58.88 / $162.18	Professional	26	$40.74	$58.88	$162.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $53.70 / $117.49	Professional	TC	$34.67	$53.70	$117.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $141.25 / $302.00	Professional		$87.10	$141.25	$302.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $63.10 / $114.82	Professional	26	$45.71	$63.10	$114.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $72.44 / $208.93	Professional	TC	$40.74	$72.44	$208.93
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.30 / $69.18 / $204.17	Facility	26	$12.30	$69.18	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $158.49 / $288.40	Professional		$87.10	$158.49	$288.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $74.13 / $144.54	Professional	26	$45.71	$74.13	$144.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $79.43 / $181.97	Professional	TC	$41.69	$79.43	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $125.89 / $239.88	Professional		$85.11	$125.89	$239.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $58.88 / $109.65	Professional	26	$41.69	$58.88	$109.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $63.10 / $138.04	Professional	TC	$38.90	$63.10	$138.04