Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.92 / $32.96 / $56.05	Facility	26	$25.92	$32.96	$56.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.19 / $116.85 / $219.82	Professional		$97.19	$116.85	$219.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.70 / $25.73 / $43.25	Professional	26	$22.70	$25.73	$43.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $73.93 / $91.88 / $178.18	Professional	TC	$73.93	$91.88	$178.18
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $28.97 / $28.97 / $28.97	Facility	26	$28.97	$28.97	$28.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.18 / $139.22 / $255.87	Professional		$99.18	$139.22	$255.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.88 / $35.10 / $55.36	Professional	26	$25.88	$35.10	$55.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $72.23 / $102.61 / $200.70	Professional	TC	$72.23	$102.61	$200.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.37 / $30.37 / $30.37	Facility	26	$30.37	$30.37	$30.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.01 / $146.19 / $262.31	Professional		$104.01	$146.19	$262.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $37.79 / $60.32	Professional	26	$23.99	$37.79	$60.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $76.58 / $112.13 / $206.33	Professional	TC	$76.58	$112.13	$206.33
United Facility/Professional Professional Modifier Low / Median / High Price $101.51 / $130.97 / $250.32	Professional		$101.51	$130.97	$250.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.28 / $31.87 / $54.68	Professional	26	$25.28	$31.87	$54.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $75.59 / $102.91 / $181.74	Professional	TC	$75.59	$102.91	$181.74