Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.60 / $32.28 / $54.93	Facility	26	$25.60	$32.28	$54.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $102.71 / $177.01	Professional		$82.00	$102.71	$177.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.87 / $26.30 / $57.45	Professional	26	$22.87	$26.30	$57.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.24 / $74.73 / $127.47	Professional	TC	$59.24	$74.73	$127.47
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $28.60 / $28.60 / $28.60	Facility	26	$28.60	$28.60	$28.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.97 / $111.87 / $192.57	Professional		$83.97	$111.87	$192.57
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.44 / $34.84 / $52.96	Professional	26	$24.44	$34.84	$52.96
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $59.63 / $82.34 / $139.86	Professional	TC	$59.63	$82.34	$139.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.07 / $30.07 / $30.07	Facility	26	$30.07	$30.07	$30.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.86 / $128.43 / $214.43	Professional		$85.86	$128.43	$214.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.43 / $36.61 / $59.52	Professional	26	$23.43	$36.61	$59.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.88 / $93.58 / $156.38	Professional	TC	$61.88	$93.58	$156.38
United Facility/Professional Professional Modifier Low / Median / High Price $87.05 / $106.99 / $186.48	Professional		$87.05	$106.99	$186.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.81 / $31.70 / $55.47	Professional	26	$24.81	$31.70	$55.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $60.61 / $77.25 / $133.63	Professional	TC	$60.61	$77.25	$133.63