Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.04 / $79.98 / $133.62	Facility	26	$66.04	$79.98	$133.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.18 / $107.53 / $214.71	Professional		$93.18	$107.53	$214.71
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $1,503.50 / $1,503.50 / $1,503.50	Professional	25	$1,503.50	$1,503.50	$1,503.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.78 / $68.94 / $124.67	Professional	26	$56.78	$68.94	$124.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.51 / $42.54 / $77.38	Professional	TC	$30.51	$42.54	$77.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.95 / $123.40 / $219.12	Professional		$89.95	$123.40	$219.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.48 / $83.42 / $137.20	Professional	26	$56.48	$83.42	$137.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.55 / $41.91 / $84.19	Professional	TC	$27.55	$41.91	$84.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.20 / $68.20 / $68.20	Facility	26	$68.20	$68.20	$68.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.20 / $137.72 / $247.22	Professional		$99.20	$137.72	$247.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.62 / $89.19 / $149.71	Professional	26	$64.62	$89.19	$149.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.46 / $49.02 / $91.94	Professional	TC	$31.46	$49.02	$91.94
United Facility/Professional Professional Modifier Low / Median / High Price $86.75 / $119.38 / $199.44	Professional		$86.75	$119.38	$199.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.33 / $76.03 / $132.36	Professional	26	$57.33	$76.03	$132.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.10 / $41.33 / $70.68	Professional	TC	$29.10	$41.33	$70.68