Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.99 / $43.65 / $112.20	Facility	26	$23.99	$43.65	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $141.25 / $288.40	Professional		$104.71	$141.25	$288.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $30.90 / $81.28	Professional	26	$22.91	$30.90	$81.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $109.65 / $208.93	Professional	TC	$72.44	$109.65	$208.93
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $28.18 / $28.18 / $28.18	Facility	26	$28.18	$28.18	$28.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $162.18 / $309.03	Professional		$91.20	$162.18	$309.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $35.48 / $63.10	Professional	26	$21.88	$35.48	$63.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $125.89 / $257.04	Professional	TC	$60.26	$125.89	$257.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.71 / $45.71 / $79.43	Facility	26	$8.71	$45.71	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $229.09 / $457.09	Professional		$147.91	$229.09	$457.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $40.74 / $83.18	Professional	26	$25.70	$40.74	$83.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $199.53 / $389.05	Professional	TC	$123.03	$199.53	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $204.17 / $363.08	Professional		$141.25	$204.17	$363.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $33.88 / $58.88	Professional	26	$23.44	$33.88	$58.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $169.82 / $302.00	Professional	TC	$117.49	$169.82	$302.00