Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.74 / $36.75 / $74.43	Facility	26	$27.74	$36.75	$74.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.29 / $105.14 / $220.75	Professional		$86.29	$105.14	$220.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.42 / $28.77 / $83.58	Professional	26	$23.42	$28.77	$83.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $62.86 / $76.12 / $171.87	Professional	TC	$62.86	$76.12	$171.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $68.54 / $211.32	Professional		$54.00	$68.54	$211.32
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.69 / $16.66 / $55.56	Professional	26	$14.69	$16.66	$55.56
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.31 / $49.53 / $158.91	Professional	TC	$39.31	$49.53	$158.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.78 / $88.80 / $101.53	Facility	26	$69.78	$88.80	$101.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.41 / $98.99 / $220.63	Professional		$48.41	$98.99	$220.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.63 / $28.43 / $61.13	Professional	26	$13.63	$28.43	$61.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.65 / $71.88 / $160.66	Professional	TC	$34.65	$71.88	$160.66
United Facility/Professional Professional Modifier Low / Median / High Price $68.94 / $108.62 / $210.59	Professional		$68.94	$108.62	$210.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.03 / $27.65 / $56.80	Professional	26	$18.03	$27.65	$56.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.54 / $82.79 / $157.65	Professional	TC	$50.54	$82.79	$157.65