Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.59 / $22.39 / $63.10	Facility	26	$12.59	$22.39	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $54.95 / $154.88	Professional		$40.74	$54.95	$154.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $14.13 / $41.69	Professional	26	$10.96	$14.13	$41.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $38.90 / $79.43	Professional	TC	$28.84	$38.90	$79.43
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $16.60 / $16.60 / $16.60	Facility	26	$16.60	$16.60	$16.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $63.10 / $151.36	Professional		$47.86	$63.10	$151.36
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $17.78 / $38.02	Professional	26	$11.22	$17.78	$38.02
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $46.77 / $112.20	Professional	TC	$35.48	$46.77	$112.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.47 / $18.20 / $44.67	Facility	26	$3.47	$18.20	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $72.44 / $141.25	Professional		$42.66	$72.44	$141.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $19.95 / $38.90	Professional	26	$11.75	$19.95	$38.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $53.70 / $107.15	Professional	TC	$31.62	$53.70	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $57.54 / $109.65	Professional		$39.81	$57.54	$109.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $15.49 / $30.20	Professional	26	$10.96	$15.49	$30.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $40.74 / $81.28	Professional	TC	$28.18	$40.74	$81.28