Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.88 / $20.42 / $54.95	Facility	26	$12.88	$20.42	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $79.43 / $245.47	Professional		$51.29	$79.43	$245.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $21.88 / $61.66	Professional	26	$12.02	$21.88	$61.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $51.29 / $117.49	Professional	TC	$34.67	$51.29	$117.49
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $19.50 / $19.50 / $19.50	Facility	26	$19.50	$19.50	$19.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $72.44 / $131.83	Professional		$51.29	$72.44	$131.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $21.88 / $38.02	Professional	26	$12.02	$21.88	$38.02
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $51.29 / $97.72	Professional	TC	$38.90	$51.29	$97.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.55 / $18.62 / $45.71	Facility	26	$3.55	$18.62	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $83.18 / $169.82	Professional		$48.98	$83.18	$169.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $21.88 / $41.69	Professional	26	$12.59	$21.88	$41.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $61.66 / $128.82	Professional	TC	$36.31	$61.66	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $66.07 / $120.23	Professional		$48.98	$66.07	$120.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $18.20 / $32.36	Professional	26	$13.18	$18.20	$32.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $47.86 / $89.13	Professional	TC	$35.48	$47.86	$89.13