Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.69 / $77.62 / $204.17	Facility	26	$41.69	$77.62	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $67.61 / $165.96	Professional		$52.48	$67.61	$165.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $47.86 / $165.96	Professional	26	$38.02	$47.86	$165.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $19.95 / $40.74	Professional	TC	$15.14	$19.95	$40.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $79.43 / $147.91	Professional		$58.88	$79.43	$147.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $57.54 / $104.71	Professional	26	$41.69	$57.54	$104.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $23.44 / $44.67	Professional	TC	$16.98	$23.44	$44.67
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.22 / $64.57 / $186.21	Facility	26	$11.22	$64.57	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $95.50 / $190.55	Professional		$58.88	$95.50	$190.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $67.61 / $131.83	Professional	26	$41.69	$67.61	$131.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $28.84 / $57.54	Professional	TC	$17.38	$28.84	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $77.62 / $141.25	Professional		$53.70	$77.62	$141.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $53.70 / $100.00	Professional	26	$37.15	$53.70	$100.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $23.44 / $41.69	Professional	TC	$15.49	$23.44	$41.69