Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.88 / $19.95 / $53.70	Facility	26	$12.88	$19.95	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $87.10 / $251.19	Professional		$56.23	$87.10	$251.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $22.39 / $66.07	Professional	26	$12.88	$22.39	$66.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $57.54 / $131.83	Professional	TC	$40.74	$57.54	$131.83
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $16.98 / $16.98	Facility	26	$16.98	$16.98	$16.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $75.86 / $154.88	Professional		$56.23	$75.86	$154.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $19.50 / $36.31	Professional	26	$13.49	$19.50	$36.31
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $57.54 / $117.49	Professional	TC	$41.69	$57.54	$117.49
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.72 / $19.50 / $47.86	Facility	26	$3.72	$19.50	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $87.10 / $177.83	Professional		$53.70	$87.10	$177.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $21.38 / $41.69	Professional	26	$12.59	$21.38	$41.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $66.07 / $144.54	Professional	TC	$40.74	$66.07	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $69.18 / $134.90	Professional		$52.48	$69.18	$134.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $17.38 / $32.36	Professional	26	$13.18	$17.38	$32.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $52.48 / $102.33	Professional	TC	$39.81	$52.48	$102.33