Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.43 / $43.03 / $43.03	Facility	26	$40.43	$43.03	$43.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.71 / $110.82 / $180.02	Professional		$86.71	$110.82	$180.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.17 / $47.18 / $113.40	Professional	26	$33.17	$47.18	$113.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $53.96 / $75.54 / $128.44	Professional	TC	$53.96	$75.54	$128.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.59 / $129.70 / $262.81	Professional		$60.59	$129.70	$262.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.33 / $53.19 / $100.47	Professional	26	$22.33	$53.19	$100.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.46 / $87.79 / $171.67	Professional	TC	$39.46	$87.79	$171.67
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.15 / $97.15 / $97.15	Facility	26	$97.15	$97.15	$97.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.09 / $122.06 / $255.38	Professional		$62.09	$122.06	$255.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.58 / $43.02 / $97.78	Professional	26	$22.58	$43.02	$97.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.34 / $73.00 / $147.22	Professional	TC	$39.34	$73.00	$147.22
United Facility/Professional Professional Modifier Low / Median / High Price $77.52 / $124.83 / $253.14	Professional		$77.52	$124.83	$253.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.94 / $46.50 / $95.14	Professional	26	$27.94	$46.50	$95.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $49.58 / $74.90 / $165.28	Professional	TC	$49.58	$74.90	$165.28