Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.38 / $27.54 / $70.79	Facility	26	$17.38	$27.54	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $107.15 / $234.42	Professional		$70.79	$107.15	$234.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $25.70 / $64.57	Professional	26	$16.60	$25.70	$64.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $75.86 / $158.49	Professional	TC	$51.29	$75.86	$158.49
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $21.38 / $21.38 / $21.38	Facility	26	$21.38	$21.38	$21.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $204.17	Professional		$74.13	$104.71	$204.17
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $25.12 / $46.77	Professional	26	$17.78	$25.12	$46.77
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $81.28 / $158.49	Professional	TC	$54.95	$81.28	$158.49
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.90 / $26.30 / $63.10	Facility	26	$4.90	$26.30	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $114.82 / $245.47	Professional		$72.44	$114.82	$245.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $27.54 / $53.70	Professional	26	$16.22	$27.54	$53.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $91.20 / $199.53	Professional	TC	$56.23	$91.20	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $95.50 / $181.97	Professional		$70.79	$95.50	$181.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $22.39 / $41.69	Professional	26	$16.98	$22.39	$41.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $72.44 / $141.25	Professional	TC	$53.70	$72.44	$141.25