Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.07 / $16.70 / $28.67	Facility	26	$12.07	$16.70	$28.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.17 / $102.28 / $184.58	Professional		$84.17	$102.28	$184.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.05 / $12.51 / $51.30	Professional	26	$11.05	$12.51	$51.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $72.93 / $84.79 / $166.62	Professional	TC	$72.93	$84.79	$166.62
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $12.90 / $12.90 / $12.90	Facility	26	$12.90	$12.90	$12.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.17 / $115.94 / $213.26	Professional		$70.17	$115.94	$213.26
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.35 / $15.75 / $26.42	Professional	26	$11.35	$15.75	$26.42
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $60.47 / $106.02 / $186.90	Professional	TC	$60.47	$106.02	$186.90
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.50 / $13.50 / $13.50	Facility	26	$13.50	$13.50	$13.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.36 / $164.83 / $289.33	Professional		$99.36	$164.83	$289.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.50 / $16.38 / $27.20	Professional	26	$10.50	$16.38	$27.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $86.69 / $144.60 / $249.13	Professional	TC	$86.69	$144.60	$249.13
United Facility/Professional Professional Modifier Low / Median / High Price $101.10 / $147.53 / $246.33	Professional		$101.10	$147.53	$246.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.65 / $14.40 / $26.14	Professional	26	$10.65	$14.40	$26.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $90.11 / $132.71 / $220.26	Professional	TC	$90.11	$132.71	$220.26