Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.85 / $25.70 / $70.79	Facility	26	$15.85	$25.70	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $109.65 / $245.47	Professional		$69.18	$109.65	$245.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $24.55 / $70.79	Professional	26	$15.14	$24.55	$70.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $87.10 / $165.96	Professional	TC	$60.26	$87.10	$165.96
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $20.42 / $20.42 / $20.42	Facility	26	$20.42	$20.42	$20.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $100.00 / $199.53	Professional		$64.57	$100.00	$199.53
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $22.39 / $39.81	Professional	26	$12.30	$22.39	$39.81
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $79.43 / $162.18	Professional	TC	$53.70	$79.43	$162.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.47 / $23.44 / $54.95	Facility	26	$4.47	$23.44	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $125.89 / $257.04	Professional		$74.13	$125.89	$257.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $25.12 / $47.86	Professional	26	$14.79	$25.12	$47.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $104.71 / $218.78	Professional	TC	$58.88	$104.71	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $102.33 / $190.55	Professional		$74.13	$102.33	$190.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $19.50 / $37.15	Professional	26	$15.14	$19.50	$37.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $81.28 / $154.88	Professional	TC	$58.88	$81.28	$154.88