Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.31 / $56.23 / $158.49	Facility	26	$36.31	$56.23	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $87.10 / $213.80	Professional		$61.66	$87.10	$213.80
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $93.33 / $114.82 / $114.82	Professional	25	$93.33	$114.82	$114.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $42.66 / $151.36	Professional	26	$33.11	$42.66	$151.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $41.69 / $81.28	Professional	TC	$21.88	$41.69	$81.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $83.18 / $165.96	Professional		$51.29	$83.18	$165.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $50.12 / $93.33	Professional	26	$34.67	$50.12	$93.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $31.62 / $83.18	Professional	TC	$17.38	$31.62	$83.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $46.77 / $117.49	Facility	26	$8.91	$46.77	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $102.33 / $251.19	Professional		$69.18	$102.33	$251.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $57.54 / $120.23	Professional	26	$38.02	$57.54	$120.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $47.86 / $134.90	Professional	TC	$24.55	$47.86	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $79.43 / $147.91	Professional		$56.23	$79.43	$147.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $45.71 / $83.18	Professional	26	$32.36	$45.71	$83.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $33.11 / $69.18	Professional	TC	$20.42	$33.11	$69.18