Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.34 / $18.09 / $30.83	Facility	26	$14.34	$18.09	$30.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.03 / $67.65 / $127.62	Professional		$54.03	$67.65	$127.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.77 / $16.94 / $38.99	Professional	26	$12.77	$16.94	$38.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $39.72 / $50.37 / $89.71	Professional	TC	$39.72	$50.37	$89.71
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $19.30 / $19.30 / $19.30	Facility	26	$19.30	$19.30	$19.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.92 / $70.78 / $122.22	Professional		$55.92	$70.78	$122.22
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.91 / $20.55 / $31.91	Professional	26	$13.91	$20.55	$31.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.54 / $54.25 / $90.91	Professional	TC	$40.54	$54.25	$90.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.57 / $16.57 / $16.57	Facility	26	$16.57	$16.57	$16.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $81.11 / $132.53	Professional		$54.00	$81.11	$132.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.21 / $22.20 / $37.57	Professional	26	$14.21	$22.20	$37.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.05 / $60.49 / $100.18	Professional	TC	$41.05	$60.49	$100.18
United Facility/Professional Professional Modifier Low / Median / High Price $55.45 / $70.45 / $117.45	Professional		$55.45	$70.45	$117.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.75 / $18.80 / $32.65	Professional	26	$14.75	$18.80	$32.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $39.19 / $51.46 / $85.93	Professional	TC	$39.19	$51.46	$85.93