Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.66 / $33.38 / $59.24	Facility	26	$26.66	$33.38	$59.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.68 / $95.15 / $184.98	Professional		$81.68	$95.15	$184.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.89 / $28.28 / $64.84	Professional	26	$19.89	$28.28	$64.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.81 / $69.95 / $117.35	Professional	TC	$56.81	$69.95	$117.35
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $24.63 / $24.63 / $24.63	Facility	26	$24.63	$24.63	$24.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.81 / $107.86 / $178.65	Professional		$79.81	$107.86	$178.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.45 / $31.47 / $50.90	Professional	26	$24.45	$31.47	$50.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $55.36 / $76.96 / $128.35	Professional	TC	$55.36	$76.96	$128.35
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.40 / $32.40 / $32.40	Facility	26	$32.40	$32.40	$32.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.84 / $117.79 / $207.16	Professional		$75.84	$117.79	$207.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $34.89 / $65.09	Professional	26	$23.44	$34.89	$65.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $53.86 / $85.13 / $148.50	Professional	TC	$53.86	$85.13	$148.50
United Facility/Professional Professional Modifier Low / Median / High Price $78.54 / $104.49 / $187.20	Professional		$78.54	$104.49	$187.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.50 / $33.13 / $58.97	Professional	26	$22.50	$33.13	$58.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $54.25 / $72.08 / $141.32	Professional	TC	$54.25	$72.08	$141.32