Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.12 / $42.66 / $114.82	Facility	26	$25.12	$42.66	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $251.19	Professional		$85.11	$120.23	$251.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $28.18 / $85.11	Professional	26	$20.89	$28.18	$85.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $91.20 / $190.55	Professional	TC	$66.07	$91.20	$190.55
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $30.90 / $30.90 / $30.90	Facility	26	$30.90	$30.90	$30.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $128.82 / $251.19	Professional		$89.13	$128.82	$251.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $35.48 / $64.57	Professional	26	$25.70	$35.48	$64.57
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $93.33 / $190.55	Professional	TC	$64.57	$93.33	$190.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.76 / $36.31 / $89.13	Facility	26	$6.76	$36.31	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $151.36 / $316.23	Professional		$89.13	$151.36	$316.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $38.90 / $77.62	Professional	26	$22.91	$38.90	$77.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $114.82 / $263.03	Professional	TC	$69.18	$114.82	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $125.89 / $239.88	Professional		$91.20	$125.89	$239.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $30.20 / $58.88	Professional	26	$23.44	$30.20	$58.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $95.50 / $181.97	Professional	TC	$66.07	$95.50	$181.97