Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.82 / $69.83 / $111.54	Facility	26	$60.82	$69.83	$111.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.70 / $100.14 / $200.00	Professional		$81.70	$100.14	$200.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.24 / $63.15 / $117.38	Professional	26	$52.24	$63.15	$117.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.89 / $39.44 / $72.16	Professional	TC	$26.89	$39.44	$72.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.32 / $114.36 / $203.13	Professional		$85.32	$114.36	$203.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.99 / $72.54 / $120.93	Professional	26	$51.99	$72.54	$120.93
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.12 / $44.20 / $79.17	Professional	TC	$26.12	$44.20	$79.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.81 / $62.81 / $62.81	Facility	26	$62.81	$62.81	$62.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.81 / $125.59 / $229.02	Professional		$89.81	$125.59	$229.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.85 / $80.84 / $136.19	Professional	26	$58.85	$80.84	$136.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.31 / $45.01 / $83.84	Professional	TC	$28.31	$45.01	$83.84
United Facility/Professional Professional Modifier Low / Median / High Price $79.76 / $108.75 / $180.63	Professional		$79.76	$108.75	$180.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.17 / $69.72 / $116.29	Professional	26	$52.17	$69.72	$116.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.48 / $37.31 / $64.31	Professional	TC	$26.48	$37.31	$64.31