Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.42 / $21.78 / $37.03	Facility	26	$17.42	$21.78	$37.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.67 / $106.02 / $186.85	Professional		$84.67	$106.02	$186.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.03 / $18.82 / $53.04	Professional	26	$16.03	$18.82	$53.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $69.56 / $87.32 / $143.35	Professional	TC	$69.56	$87.32	$143.35
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $20.29 / $20.29 / $20.29	Facility	26	$20.29	$20.29	$20.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.37 / $111.74 / $198.94	Professional		$81.37	$111.74	$198.94
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.71 / $23.33 / $36.18	Professional	26	$16.71	$23.33	$36.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $62.72 / $91.53 / $161.12	Professional	TC	$62.72	$91.53	$161.12
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.50 / $20.50 / $20.50	Facility	26	$20.50	$20.50	$20.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.95 / $124.49 / $211.34	Professional		$78.95	$124.49	$211.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.17 / $25.31 / $39.74	Professional	26	$16.17	$25.31	$39.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.35 / $95.85 / $171.55	Professional	TC	$63.35	$95.85	$171.55
United Facility/Professional Professional Modifier Low / Median / High Price $83.13 / $106.30 / $189.11	Professional		$83.13	$106.30	$189.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.22 / $21.31 / $36.65	Professional	26	$17.22	$21.31	$36.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $64.26 / $88.74 / $151.66	Professional	TC	$64.26	$88.74	$151.66