Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $60.26 / $169.82	Facility	26	$33.11	$60.26	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $165.96 / $416.87	Professional		$117.49	$165.96	$416.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $56.23 / $234.42	Professional	26	$32.36	$56.23	$234.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $117.49 / $346.74	Professional	TC	$85.11	$117.49	$346.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $93.33 / $331.13	Professional		$66.07	$93.33	$331.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $39.81 / $104.71	Professional	26	$22.39	$39.81	$104.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $54.95 / $239.88	Professional	TC	$17.38	$54.95	$239.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.14 / $89.13 / $158.49	Facility	26	$15.14	$89.13	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $165.96 / $380.19	Professional		$77.62	$165.96	$380.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $50.12 / $109.65	Professional	26	$21.38	$50.12	$109.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $117.49 / $295.12	Professional	TC	$51.29	$117.49	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $144.54 / $316.23	Professional		$87.10	$144.54	$316.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $43.65 / $89.13	Professional	26	$26.30	$43.65	$89.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $100.00 / $234.42	Professional	TC	$58.88	$100.00	$234.42