Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.32 / $48.43 / $74.28	Facility	26	$40.32	$48.43	$74.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.28 / $81.03 / $181.77	Professional		$61.28	$81.03	$181.77
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $113.88 / $113.88 / $113.88	Professional	25	$113.88	$113.88	$113.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.21 / $42.58 / $91.08	Professional	26	$34.21	$42.58	$91.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $39.04 / $71.59	Professional	TC	$22.57	$39.04	$71.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.69 / $87.68 / $162.15	Professional		$60.69	$87.68	$162.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.84 / $51.40 / $85.29	Professional	26	$34.84	$51.40	$85.29
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.99 / $32.79 / $79.25	Professional	TC	$20.99	$32.79	$79.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.65 / $41.65 / $41.65	Facility	26	$41.65	$41.65	$41.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.93 / $96.72 / $178.67	Professional		$67.93	$96.72	$178.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.33 / $54.60 / $91.59	Professional	26	$39.33	$54.60	$91.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.40 / $41.67 / $83.20	Professional	TC	$24.40	$41.67	$83.20
United Facility/Professional Professional Modifier Low / Median / High Price $60.08 / $83.23 / $140.07	Professional		$60.08	$83.23	$140.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.00 / $46.57 / $78.52	Professional	26	$35.00	$46.57	$78.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.93 / $34.39 / $63.65	Professional	TC	$21.93	$34.39	$63.65