Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.31 / $43.72 / $50.16	Facility	26	$41.31	$43.72	$50.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.31 / $105.09 / $352.00	Professional		$64.31	$105.09	$352.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.26 / $36.89 / $106.25	Professional	26	$31.26	$36.89	$106.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.03 / $55.27 / $117.35	Professional	TC	$33.03	$55.27	$117.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.33 / $119.56 / $119.56	Professional		$90.33	$119.56	$119.56
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.56 / $49.72 / $49.72	Professional	26	$37.56	$49.72	$49.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $52.77 / $69.84 / $69.84	Professional	TC	$52.77	$69.84	$69.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.18 / $75.50 / $125.31	Professional		$39.18	$75.50	$125.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.62 / $91.22 / $192.04	Professional		$67.62	$91.22	$192.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.29 / $49.18 / $65.48	Professional	26	$33.29	$49.18	$65.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.77 / $63.53 / $119.98	Professional	TC	$18.77	$63.53	$119.98
United Facility/Professional Professional Modifier Low / Median / High Price $53.14 / $89.28 / $183.04	Professional		$53.14	$89.28	$183.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.27 / $37.28 / $65.88	Professional	26	$30.27	$37.28	$65.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.27 / $53.93 / $101.18	Professional	TC	$17.27	$53.93	$101.18