Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.18 / $51.29 / $141.25	Facility	26	$28.18	$51.29	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $48.98 / $147.91	Professional		$37.15	$48.98	$147.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $60.26 / $199.53	Professional	26	$25.70	$60.26	$199.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $19.05 / $51.29	Professional	TC	$12.88	$19.05	$51.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $52.48 / $125.89	Professional		$23.44	$52.48	$125.89
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $34.67 / $79.43	Professional	26	$15.14	$34.67	$79.43
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $8.32 / $17.38 / $46.77	Professional	TC	$8.32	$17.38	$46.77
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.32 / $44.67 / $66.07	Facility	26	$8.32	$44.67	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $53.70 / $107.15	Professional		$25.70	$53.70	$107.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $33.88 / $70.79	Professional	26	$16.22	$33.88	$70.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $9.33 / $18.20 / $39.81	Professional	TC	$9.33	$18.20	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $52.48 / $114.82	Professional		$30.20	$52.48	$114.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $33.11 / $74.13	Professional	26	$18.62	$33.11	$74.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $18.20 / $39.81	Professional	TC	$10.96	$18.20	$39.81