Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.62 / $36.31 / $93.33	Facility	26	$18.62	$36.31	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $67.61 / $125.89	Professional		$48.98	$67.61	$125.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $20.89 / $60.26	Professional	26	$16.98	$20.89	$60.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $44.67 / $85.11	Professional	TC	$32.36	$44.67	$85.11
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $24.55 / $24.55 / $24.55	Facility	26	$24.55	$24.55	$24.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $75.86 / $138.04	Professional		$56.23	$75.86	$138.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $28.18 / $47.86	Professional	26	$20.42	$28.18	$47.86
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $48.98 / $91.20	Professional	TC	$35.48	$48.98	$91.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.13 / $26.92 / $66.07	Facility	26	$5.13	$26.92	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $87.10 / $173.78	Professional		$53.70	$87.10	$173.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $29.51 / $57.54	Professional	26	$17.38	$29.51	$57.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $58.88 / $123.03	Professional	TC	$35.48	$58.88	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $69.18 / $128.82	Professional		$52.48	$69.18	$128.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $23.44 / $44.67	Professional	26	$17.78	$23.44	$44.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $45.71 / $85.11	Professional	TC	$33.88	$45.71	$85.11