Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $24.55 / $56.23	Facility	26	$12.02	$24.55	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $109.65 / $275.42	Professional		$77.62	$109.65	$275.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $14.13 / $54.95	Professional	26	$10.00	$14.13	$54.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $95.50 / $218.78	Professional	TC	$64.57	$95.50	$218.78
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $12.88 / $12.88 / $12.88	Facility	26	$12.88	$12.88	$12.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $112.20 / $257.04	Professional		$66.07	$112.20	$257.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $15.85 / $29.51	Professional	26	$11.22	$15.85	$29.51
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $97.72 / $229.09	Professional	TC	$54.95	$97.72	$229.09
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.88 / $15.49 / $37.15	Facility	26	$2.88	$15.49	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $165.96 / $316.23	Professional		$89.13	$165.96	$316.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $15.85 / $33.11	Professional	26	$9.12	$15.85	$33.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $144.54 / $281.84	Professional	TC	$81.28	$144.54	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $138.04 / $251.19	Professional		$95.50	$138.04	$251.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $13.18 / $25.12	Professional	26	$9.77	$13.18	$25.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $123.03 / $223.87	Professional	TC	$85.11	$123.03	$223.87