Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.24 / $30.68 / $46.48	Facility	26	$25.24	$30.68	$46.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.06 / $101.59 / $243.40	Professional		$86.06	$101.59	$243.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.33 / $27.39 / $66.15	Professional	26	$23.33	$27.39	$66.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.40 / $73.22 / $140.53	Professional	TC	$61.40	$73.22	$140.53
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $29.32 / $29.32 / $29.32	Facility	26	$29.32	$29.32	$29.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.95 / $120.55 / $204.67	Professional		$96.95	$120.55	$204.67
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.04 / $32.44 / $51.37	Professional	26	$25.04	$32.44	$51.37
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $73.05 / $90.64 / $158.15	Professional	TC	$73.05	$90.64	$158.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.72 / $29.72 / $29.72	Facility	26	$29.72	$29.72	$29.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.19 / $129.58 / $236.20	Professional		$87.19	$129.58	$236.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.73 / $36.38 / $60.65	Professional	26	$23.73	$36.38	$60.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $65.12 / $95.54 / $174.35	Professional	TC	$65.12	$95.54	$174.35
United Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $121.32 / $212.64	Professional		$95.00	$121.32	$212.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.34 / $30.96 / $53.29	Professional	26	$25.34	$30.96	$53.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $68.50 / $90.22 / $161.82	Professional	TC	$68.50	$90.22	$161.82