Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.91 / $34.67 / $93.33	Facility	26	$22.91	$34.67	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $199.53 / $446.68	Professional		$144.54	$199.53	$446.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $28.84 / $66.07	Professional	26	$21.88	$28.84	$66.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $154.88 / $331.13	Professional	TC	$123.03	$154.88	$331.13
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $26.92 / $26.92	Facility	26	$26.92	$26.92	$26.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $204.17 / $380.19	Professional		$138.04	$204.17	$380.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $29.51 / $57.54	Professional	26	$19.95	$29.51	$57.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $173.78 / $331.13	Professional	TC	$114.82	$173.78	$331.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.75 / $30.90 / $72.44	Facility	26	$5.75	$30.90	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $239.88 / $457.09	Professional		$151.36	$239.88	$457.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $33.88 / $66.07	Professional	26	$23.44	$33.88	$66.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $213.80 / $407.38	Professional	TC	$131.83	$213.80	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $208.93 / $371.54	Professional		$144.54	$208.93	$371.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $28.84 / $51.29	Professional	26	$21.38	$28.84	$51.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $181.97 / $323.59	Professional	TC	$123.03	$181.97	$323.59