Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.54 / $22.54 / $22.97	Facility	26	$22.54	$22.54	$22.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $58.56 / $92.84	Professional		$36.65	$58.56	$92.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.92 / $22.47 / $115.55	Professional	26	$16.92	$22.47	$115.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.00 / $30.02 / $74.00	Professional	TC	$18.00	$30.02	$74.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $205.00 / $205.00	Professional		$125.00	$205.00	$205.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.00 / $98.00 / $98.00	Professional	26	$60.00	$98.00	$98.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $65.00 / $107.00 / $107.00	Professional	TC	$65.00	$107.00	$107.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.02 / $93.04 / $141.15	Professional		$62.02	$93.04	$141.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.35 / $36.47 / $57.83	Professional	26	$20.35	$36.47	$57.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.85 / $44.77 / $87.35	Professional	TC	$29.85	$44.77	$87.35
United Facility/Professional Professional Modifier Low / Median / High Price $82.20 / $101.37 / $330.00	Professional		$82.20	$101.37	$330.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $48.75 / $71.50	Professional	26	$19.05	$48.75	$71.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.20 / $55.30 / $266.19	Professional	TC	$40.20	$55.30	$266.19