Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.15 / $54.95 / $131.83	Facility	26	$37.15	$54.95	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $223.87 / $794.33	Professional		$134.90	$223.87	$794.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $66.07 / $204.17	Professional	26	$36.31	$66.07	$204.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $144.54 / $302.00	Professional	TC	$97.72	$144.54	$302.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $42.66 / $42.66 / $42.66	Facility	26	$42.66	$42.66	$42.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $208.93 / $380.19	Professional		$125.89	$208.93	$380.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $60.26 / $109.65	Professional	26	$30.90	$60.26	$109.65
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $151.36 / $275.42	Professional	TC	$95.50	$151.36	$275.42
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.12 / $48.98 / $120.23	Facility	26	$9.12	$48.98	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $245.47 / $457.09	Professional		$154.88	$245.47	$457.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $66.07 / $117.49	Professional	26	$38.90	$66.07	$117.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $186.21 / $354.81	Professional	TC	$117.49	$186.21	$354.81
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 $35.48 / $56.23 / $97.72	Professional	26	$35.48	$56.23	$97.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $154.88 / $275.42	Professional	TC	$107.15	$154.88	$275.42