Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.78 / $28.05 / $42.72	Facility	26	$24.78	$28.05	$42.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.68 / $180.90 / $271.70	Professional		$116.68	$180.90	$271.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.76 / $23.84 / $51.54	Professional	26	$18.76	$23.84	$51.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $94.28 / $150.77 / $219.53	Professional	TC	$94.28	$150.77	$219.53
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $27.85 / $27.85 / $27.85	Facility	26	$27.85	$27.85	$27.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.94 / $148.85 / $237.81	Professional		$120.94	$148.85	$237.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.42 / $25.32 / $41.88	Professional	26	$19.42	$25.32	$41.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $98.70 / $121.60 / $214.94	Professional	TC	$98.70	$121.60	$214.94
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.06 / $27.06 / $27.06	Facility	26	$27.06	$27.06	$27.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.67 / $187.70 / $313.11	Professional		$122.67	$187.70	$313.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.91 / $31.37 / $53.80	Professional	26	$21.91	$31.37	$53.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $98.24 / $155.36 / $261.89	Professional	TC	$98.24	$155.36	$261.89
United Facility/Professional Professional Modifier Low / Median / High Price $122.81 / $175.13 / $281.60	Professional		$122.81	$175.13	$281.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.88 / $28.42 / $50.66	Professional	26	$20.88	$28.42	$50.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $100.12 / $143.58 / $242.16	Professional	TC	$100.12	$143.58	$242.16