Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.13 / $18.55 / $30.06	Facility	26	$14.13	$18.55	$30.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.77 / $75.19 / $132.74	Professional		$53.77	$75.19	$132.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.73 / $17.26 / $35.71	Professional	26	$12.73	$17.26	$35.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $39.17 / $51.21 / $87.82	Professional	TC	$39.17	$51.21	$87.82
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $17.51 / $17.51 / $17.51	Facility	26	$17.51	$17.51	$17.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.39 / $70.90 / $121.64	Professional		$55.39	$70.90	$121.64
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.23 / $20.30 / $31.93	Professional	26	$14.23	$20.30	$31.93
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $41.80 / $56.28 / $91.84	Professional	TC	$41.80	$56.28	$91.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.57 / $16.57 / $16.57	Facility	26	$16.57	$16.57	$16.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.69 / $86.33 / $138.88	Professional		$55.69	$86.33	$138.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.91 / $22.50 / $36.02	Professional	26	$13.91	$22.50	$36.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.10 / $63.30 / $102.50	Professional	TC	$42.10	$63.30	$102.50
United Facility/Professional Professional Modifier Low / Median / High Price $56.27 / $72.04 / $124.30	Professional		$56.27	$72.04	$124.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.91 / $18.73 / $32.65	Professional	26	$14.91	$18.73	$32.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.41 / $53.18 / $93.23	Professional	TC	$41.41	$53.18	$93.23