Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.08 / $25.08 / $25.55	Facility	26	$25.08	$25.08	$25.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.29 / $92.43 / $118.98	Professional		$75.29	$92.43	$118.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.23 / $23.17 / $29.88	Professional	26	$21.23	$23.17	$29.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.06 / $69.26 / $90.23	Professional	TC	$54.06	$69.26	$90.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.00 / $421.00 / $421.00	Professional		$256.00	$421.00	$421.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.00 / $111.00 / $111.00	Professional	26	$67.00	$111.00	$111.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $189.00 / $310.00 / $310.00	Professional	TC	$189.00	$310.00	$310.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.57 / $143.66 / $245.15	Professional		$98.57	$143.66	$245.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.05 / $41.13 / $71.22	Professional	26	$29.05	$41.13	$71.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $69.50 / $99.67 / $167.41	Professional	TC	$69.50	$99.67	$167.41
United Facility/Professional Professional Modifier Low / Median / High Price $103.29 / $169.86 / $293.70	Professional		$103.29	$169.86	$293.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.84 / $50.07 / $85.53	Professional	26	$26.84	$50.07	$85.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $76.45 / $119.79 / $211.21	Professional	TC	$76.45	$119.79	$211.21