Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.84 / $44.67 / $114.82	Facility	26	$28.84	$44.67	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $85.11 / $208.93	Professional		$66.07	$85.11	$208.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $42.66 / $114.82	Professional	26	$27.54	$42.66	$114.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $48.98 / $93.33	Professional	TC	$38.02	$48.98	$93.33
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $36.31 / $36.31 / $36.31	Facility	26	$36.31	$36.31	$36.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $91.20 / $169.82	Professional		$63.10	$91.20	$169.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $38.90 / $70.79	Professional	26	$27.54	$38.90	$70.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $53.70 / $100.00	Professional	TC	$37.15	$53.70	$100.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.13 / $43.65 / $104.71	Facility	26	$8.13	$43.65	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $109.65 / $218.78	Professional		$64.57	$109.65	$218.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $46.77 / $89.13	Professional	26	$26.92	$46.77	$89.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $64.57 / $131.83	Professional	TC	$38.90	$64.57	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $87.10 / $165.96	Professional		$66.07	$87.10	$165.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $37.15 / $69.18	Professional	26	$28.18	$37.15	$69.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $50.12 / $95.50	Professional	TC	$38.02	$50.12	$95.50