Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $95.50 / $288.40	Facility	26	$60.26	$95.50	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $117.49 / $295.12	Professional		$89.13	$117.49	$295.12
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $218.78 / $218.78 / $1,513.56	Professional	25	$218.78	$218.78	$1,513.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $70.79 / $194.98	Professional	26	$56.23	$70.79	$194.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $44.67 / $87.10	Professional	TC	$28.18	$44.67	$87.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $120.23 / $234.42	Professional		$77.62	$120.23	$234.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $81.28 / $154.88	Professional	26	$56.23	$81.28	$154.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $41.69 / $91.20	Professional	TC	$20.89	$41.69	$91.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.45 / $77.62 / $190.55	Facility	26	$14.45	$77.62	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $147.91 / $338.84	Professional		$100.00	$147.91	$338.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $93.33 / $194.98	Professional	26	$61.66	$93.33	$194.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $53.70 / $144.54	Professional	TC	$31.62	$53.70	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $208.93	Professional		$81.28	$114.82	$208.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $75.86 / $134.90	Professional	26	$53.70	$75.86	$134.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $38.90 / $75.86	Professional	TC	$26.30	$38.90	$75.86