Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.51 / $28.46 / $46.62	Facility	26	$22.51	$28.46	$46.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.86 / $82.34 / $280.98	Professional		$42.86	$82.34	$280.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.92 / $25.64 / $79.50	Professional	26	$16.92	$25.64	$79.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.74 / $46.09 / $80.38	Professional	TC	$20.74	$46.09	$80.38
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $26.43 / $26.43 / $26.43	Facility	26	$26.43	$26.43	$26.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.16 / $59.47 / $113.35	Professional		$47.16	$59.47	$113.35
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.29 / $25.89 / $40.88	Professional	26	$19.29	$25.89	$40.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.56 / $35.52 / $75.44	Professional	TC	$25.56	$35.52	$75.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.65 / $26.65 / $26.65	Facility	26	$26.65	$26.65	$26.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.52 / $80.87 / $151.00	Professional		$43.52	$80.87	$151.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.94 / $29.48 / $51.37	Professional	26	$18.94	$29.48	$51.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.04 / $44.77 / $104.39	Professional	TC	$22.04	$44.77	$104.39
United Facility/Professional Professional Modifier Low / Median / High Price $47.18 / $68.80 / $121.02	Professional		$47.18	$68.80	$121.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $26.18 / $45.50	Professional	26	$19.05	$26.18	$45.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.97 / $37.35 / $87.13	Professional	TC	$22.97	$37.35	$87.13