Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.15 / $42.15 / $42.15	Facility	26	$42.15	$42.15	$42.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.83 / $79.14 / $96.10	Professional		$49.83	$79.14	$96.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.75 / $29.80 / $42.15	Professional	26	$20.75	$29.80	$42.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.08 / $49.35 / $53.95	Professional	TC	$29.08	$49.35	$53.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.65 / $92.67 / $109.35	Professional		$67.65	$92.67	$109.35
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.77 / $35.29 / $41.65	Professional	26	$25.77	$35.29	$41.65
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $41.88 / $57.37 / $67.70	Professional	TC	$41.88	$57.37	$67.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.28 / $36.28 / $36.28	Facility	26	$36.28	$36.28	$36.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.06 / $102.37 / $238.36	Professional		$62.06	$102.37	$238.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.85 / $43.53 / $102.01	Professional	26	$25.85	$43.53	$102.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.79 / $62.49 / $165.67	Professional	TC	$34.79	$62.49	$165.67
United Facility/Professional Professional Modifier Low / Median / High Price $67.94 / $92.67 / $121.69	Professional		$67.94	$92.67	$121.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.87 / $35.29 / $45.03	Professional	26	$26.87	$35.29	$45.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.31 / $57.37 / $77.52	Professional	TC	$42.31	$57.37	$77.52