Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $58.88 / $169.82	Facility	26	$26.92	$58.88	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $109.65 / $263.03	Professional		$72.44	$109.65	$263.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $44.67 / $162.18	Professional	26	$16.60	$44.67	$162.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $60.26 / $199.53	Professional	TC	$40.74	$60.26	$199.53
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $19.05 / $19.05 / $19.05	Facility	26	$19.05	$19.05	$19.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $165.96 / $489.78	Professional		$87.10	$165.96	$489.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $36.31 / $91.20	Professional	26	$19.05	$36.31	$91.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $97.72 / $446.68	Professional	TC	$50.12	$97.72	$446.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.22 / $60.26 / $144.54	Facility	26	$11.22	$60.26	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $162.18 / $549.54	Professional		$77.62	$162.18	$549.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $37.15 / $112.20	Professional	26	$17.78	$37.15	$112.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $104.71 / $501.19	Professional	TC	$45.71	$104.71	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $134.90 / $446.68	Professional		$87.10	$134.90	$446.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $42.66 / $89.13	Professional	26	$16.60	$42.66	$89.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $85.11 / $371.54	Professional	TC	$51.29	$85.11	$371.54