Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.14 / $26.30 / $70.79	Facility	26	$15.14	$26.30	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $85.11 / $199.53	Professional		$57.54	$85.11	$199.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $18.62 / $51.29	Professional	26	$13.80	$18.62	$51.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $57.54 / $120.23	Professional	TC	$41.69	$57.54	$120.23
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $18.62 / $18.62 / $18.62	Facility	26	$18.62	$18.62	$18.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $85.11 / $169.82	Professional		$63.10	$85.11	$169.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $21.88 / $39.81	Professional	26	$14.79	$21.88	$39.81
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $66.07 / $131.83	Professional	TC	$45.71	$66.07	$131.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.17 / $22.39 / $54.95	Facility	26	$4.17	$22.39	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $95.50 / $199.53	Professional		$58.88	$95.50	$199.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $23.99 / $46.77	Professional	26	$14.13	$23.99	$46.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $74.13 / $162.18	Professional	TC	$45.71	$74.13	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $79.43 / $154.88	Professional		$58.88	$79.43	$154.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $19.05 / $36.31	Professional	26	$14.45	$19.05	$36.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $61.66 / $117.49	Professional	TC	$43.65	$61.66	$117.49