Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.57 / $18.18 / $29.25	Facility	26	$14.57	$18.18	$29.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.75 / $68.28 / $175.99	Professional		$56.75	$68.28	$175.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $16.32 / $55.71	Professional	26	$13.49	$16.32	$55.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.39 / $50.05 / $102.28	Professional	TC	$42.39	$50.05	$102.28
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $17.14 / $17.14 / $17.14	Facility	26	$17.14	$17.14	$17.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.27 / $78.70 / $129.61	Professional		$59.27	$78.70	$129.61
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.56 / $19.82 / $30.22	Professional	26	$14.56	$19.82	$30.22
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $47.24 / $62.67 / $99.98	Professional	TC	$47.24	$62.67	$99.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.32 / $17.32 / $17.32	Facility	26	$17.32	$17.32	$17.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.89 / $83.67 / $145.33	Professional		$56.89	$83.67	$145.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.64 / $21.68 / $35.39	Professional	26	$13.64	$21.68	$35.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $44.45 / $64.59 / $114.17	Professional	TC	$44.45	$64.59	$114.17
United Facility/Professional Professional Modifier Low / Median / High Price $59.46 / $75.19 / $130.28	Professional		$59.46	$75.19	$130.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.25 / $18.91 / $33.03	Professional	26	$15.25	$18.91	$33.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.83 / $57.17 / $98.74	Professional	TC	$43.83	$57.17	$98.74