Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $57.54 / $123.03	Facility	26	$40.74	$57.54	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $141.25 / $281.84	Professional		$112.20	$141.25	$281.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $46.77 / $107.15	Professional	26	$39.81	$46.77	$107.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $85.11 / $151.36	Professional	TC	$70.79	$85.11	$151.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $138.04 / $251.19	Professional		$89.13	$138.04	$251.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $51.29 / $91.20	Professional	26	$33.11	$51.29	$91.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $85.11 / $165.96	Professional	TC	$53.70	$85.11	$165.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.72 / $57.54 / $154.88	Facility	26	$10.72	$57.54	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $190.55 / $398.11	Professional		$117.49	$190.55	$398.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $67.61 / $134.90	Professional	26	$43.65	$67.61	$134.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $125.89 / $281.84	Professional	TC	$72.44	$125.89	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $151.36 / $295.12	Professional		$104.71	$151.36	$295.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $54.95 / $100.00	Professional	26	$38.90	$54.95	$100.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $97.72 / $194.98	Professional	TC	$66.07	$97.72	$194.98