Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.30 / $23.58 / $39.10	Facility	26	$19.30	$23.58	$39.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.73 / $86.40 / $166.90	Professional		$73.73	$86.40	$166.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.23 / $19.92 / $41.85	Professional	26	$17.23	$19.92	$41.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $55.57 / $66.42 / $135.65	Professional	TC	$55.57	$66.42	$135.65
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $21.47 / $21.47 / $21.47	Facility	26	$21.47	$21.47	$21.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.12 / $110.39 / $178.29	Professional		$83.12	$110.39	$178.29
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.41 / $26.06 / $40.29	Professional	26	$19.41	$26.06	$40.29
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $66.67 / $89.24 / $140.18	Professional	TC	$66.67	$89.24	$140.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.72 / $22.72 / $22.72	Facility	26	$22.72	$22.72	$22.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.95 / $113.97 / $201.05	Professional		$78.95	$113.97	$201.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.92 / $27.76 / $46.09	Professional	26	$17.92	$27.76	$46.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.02 / $86.41 / $160.46	Professional	TC	$60.02	$86.41	$160.46
United Facility/Professional Professional Modifier Low / Median / High Price $77.27 / $102.98 / $190.84	Professional		$77.27	$102.98	$190.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.23 / $24.41 / $42.38	Professional	26	$19.23	$24.41	$42.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $57.53 / $77.08 / $141.47	Professional	TC	$57.53	$77.08	$141.47