Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.46 / $14.46 / $14.73	Facility	26	$14.46	$14.46	$14.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.81 / $57.83 / $93.70	Professional		$52.81	$57.83	$93.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.09 / $14.36 / $21.34	Professional	26	$12.09	$14.36	$21.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.72 / $45.02 / $67.84	Professional	TC	$40.72	$45.02	$67.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $296.00 / $296.00	Professional		$180.00	$296.00	$296.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.00 / $63.00 / $63.00	Professional	26	$38.00	$63.00	$63.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $142.00 / $233.00 / $233.00	Professional	TC	$142.00	$233.00	$233.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.26 / $93.43 / $161.04	Professional		$64.26	$93.43	$161.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.57 / $23.69 / $42.59	Professional	26	$16.57	$23.69	$42.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $46.47 / $66.81 / $118.45	Professional	TC	$46.47	$66.81	$118.45
United Facility/Professional Professional Modifier Low / Median / High Price $59.46 / $120.42 / $192.51	Professional		$59.46	$120.42	$192.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.63 / $29.15 / $50.60	Professional	26	$15.63	$29.15	$50.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.83 / $91.27 / $141.91	Professional	TC	$43.83	$91.27	$141.91