Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.44 / $38.90 / $102.33	Facility	26	$23.44	$38.90	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $104.71 / $257.04	Professional		$75.86	$104.71	$257.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $32.36 / $89.13	Professional	26	$21.88	$32.36	$89.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $75.86 / $147.91	Professional	TC	$53.70	$75.86	$147.91
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $28.84 / $28.84 / $28.84	Facility	26	$28.84	$28.84	$28.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $107.15 / $199.53	Professional		$75.86	$107.15	$199.53
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $33.11 / $57.54	Professional	26	$21.88	$33.11	$57.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $75.86 / $144.54	Professional	TC	$52.48	$75.86	$144.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.46 / $33.88 / $83.18	Facility	26	$6.46	$33.88	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $128.82 / $257.04	Professional		$79.43	$128.82	$257.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $36.31 / $70.79	Professional	26	$21.38	$36.31	$70.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $93.33 / $199.53	Professional	TC	$56.23	$93.33	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $102.33 / $194.98	Professional		$75.86	$102.33	$194.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $28.84 / $54.95	Professional	26	$21.88	$28.84	$54.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $74.13 / $134.90	Professional	TC	$53.70	$74.13	$134.90