Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $40.74 / $109.65	Facility	26	$26.92	$40.74	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $138.04 / $426.58	Professional		$72.44	$138.04	$426.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $56.23 / $134.90	Professional	26	$27.54	$56.23	$134.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $63.10 / $204.17	Professional	TC	$40.74	$63.10	$204.17
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $34.67 / $34.67 / $34.67	Facility	26	$34.67	$34.67	$34.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $102.33 / $181.97	Professional		$75.86	$102.33	$181.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $40.74 / $69.18	Professional	26	$30.20	$40.74	$69.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $63.10 / $112.20	Professional	TC	$48.98	$63.10	$112.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.59 / $39.81 / $97.72	Facility	26	$7.59	$39.81	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $112.20 / $218.78	Professional		$69.18	$112.20	$218.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $42.66 / $83.18	Professional	26	$25.70	$42.66	$83.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $70.79 / $138.04	Professional	TC	$42.66	$70.79	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $93.33 / $165.96	Professional		$67.61	$93.33	$165.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $33.88 / $63.10	Professional	26	$25.70	$33.88	$63.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $57.54 / $104.71	Professional	TC	$42.66	$57.54	$104.71