Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.55 / $36.31 / $89.13	Facility	26	$24.55	$36.31	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $102.33 / $275.42	Professional		$74.13	$102.33	$275.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $38.90 / $91.20	Professional	26	$21.88	$38.90	$91.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $72.44 / $144.54	Professional	TC	$52.48	$72.44	$144.54
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $24.55 / $24.55 / $24.55	Facility	26	$24.55	$24.55	$24.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $100.00 / $190.55	Professional		$72.44	$100.00	$190.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $31.62 / $56.23	Professional	26	$23.44	$31.62	$56.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $69.18 / $134.90	Professional	TC	$46.77	$69.18	$134.90
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.92 / $37.15 / $91.20	Facility	26	$6.92	$37.15	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $117.49 / $245.47	Professional		$72.44	$117.49	$245.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $35.48 / $75.86	Professional	26	$20.89	$35.48	$75.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $87.10 / $186.21	Professional	TC	$51.29	$87.10	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $97.72 / $186.21	Professional		$69.18	$97.72	$186.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $30.90 / $57.54	Professional	26	$20.42	$30.90	$57.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $67.61 / $131.83	Professional	TC	$48.98	$67.61	$131.83