Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.99 / $38.90 / $104.71	Facility	26	$23.99	$38.90	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $120.23 / $257.04	Professional		$83.18	$120.23	$257.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $26.92 / $75.86	Professional	26	$20.89	$26.92	$75.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $95.50 / $208.93	Professional	TC	$69.18	$95.50	$208.93
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $28.84 / $28.84 / $28.84	Facility	26	$28.84	$28.84	$28.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $131.83 / $257.04	Professional		$87.10	$131.83	$257.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $34.67 / $69.18	Professional	26	$24.55	$34.67	$69.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $100.00 / $199.53	Professional	TC	$64.57	$100.00	$199.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.46 / $34.67 / $85.11	Facility	26	$6.46	$34.67	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $154.88 / $316.23	Professional		$93.33	$154.88	$316.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $37.15 / $72.44	Professional	26	$22.39	$37.15	$72.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $120.23 / $269.15	Professional	TC	$70.79	$120.23	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $123.03 / $239.88	Professional		$91.20	$123.03	$239.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $28.84 / $54.95	Professional	26	$22.39	$28.84	$54.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $93.33 / $186.21	Professional	TC	$69.18	$93.33	$186.21