Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.70 / $85.11 / $263.03	Facility	26	$53.70	$85.11	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $302.00	Professional		$81.28	$114.82	$302.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $70.79 / $194.98	Professional	26	$51.29	$70.79	$194.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $41.69 / $81.28	Professional	TC	$25.12	$41.69	$81.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $109.65 / $208.93	Professional		$81.28	$109.65	$208.93
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $70.79 / $138.04	Professional	26	$52.48	$70.79	$138.04
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $41.69 / $83.18	Professional	TC	$23.99	$41.69	$83.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.49 / $70.79 / $173.78	Facility	26	$13.49	$70.79	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $131.83 / $316.23	Professional		$91.20	$131.83	$316.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $85.11 / $181.97	Professional	26	$57.54	$85.11	$181.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $48.98 / $134.90	Professional	TC	$28.84	$48.98	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $102.33 / $190.55	Professional		$74.13	$102.33	$190.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $67.61 / $123.03	Professional	26	$48.98	$67.61	$123.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $35.48 / $70.79	Professional	TC	$23.44	$35.48	$70.79