Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $89.13 / $239.88	Facility	26	$54.95	$89.13	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $208.93 / $977.24	Professional		$112.20	$208.93	$977.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $190.55 / $891.25	Professional	26	$57.54	$190.55	$891.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $91.20 / $275.42	Professional	TC	$52.48	$91.20	$275.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $186.21 / $354.81	Professional		$120.23	$186.21	$354.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $81.28 / $147.91	Professional	26	$58.88	$81.28	$147.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $104.71 / $208.93	Professional	TC	$63.10	$104.71	$208.93
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.79 / $83.18 / $245.47	Facility	26	$14.79	$83.18	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $208.93 / $380.19	Professional		$120.23	$208.93	$380.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $91.20 / $177.83	Professional	26	$56.23	$91.20	$177.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $120.23 / $204.17	Professional	TC	$64.57	$120.23	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $169.82 / $295.12	Professional		$114.82	$169.82	$295.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $74.13 / $131.83	Professional	26	$51.29	$74.13	$131.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $95.50 / $165.96	Professional	TC	$60.26	$95.50	$165.96