Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.59 / $137.00 / $167.66	Facility		$91.59	$137.00	$167.66
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.19 / $29.19 / $53.44	Facility	26	$29.19	$29.19	$53.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $67.09 / $67.09	Professional		$59.00	$67.09	$67.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.47 / $20.76 / $41.48	Professional	26	$17.47	$20.76	$41.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $38.24 / $49.64 / $49.64	Professional	TC	$38.24	$49.64	$49.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.25 / $70.25 / $134.59	Professional		$70.25	$70.25	$134.59
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.11 / $21.58 / $32.90	Professional	26	$15.11	$21.58	$32.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.07 / $41.37 / $48.67	Professional	TC	$34.07	$41.37	$48.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.31 / $69.31 / $69.31	Facility		$69.31	$69.31	$69.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $83.25 / $123.39	Professional		$34.04	$83.25	$123.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.57 / $31.27 / $38.47	Professional	26	$11.57	$31.27	$38.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.47 / $52.65 / $87.43	Professional	TC	$22.47	$52.65	$87.43
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $65.81 / $98.47	Professional		$5.25	$65.81	$98.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.34 / $26.83 / $38.71	Professional	26	$14.34	$26.83	$38.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.53 / $51.97 / $66.23	Professional	TC	$18.53	$51.97	$66.23