Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $79.43 / $131.83	Facility	26	$26.92	$79.43	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $95.50 / $204.17	Professional		$67.61	$95.50	$204.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $30.20 / $162.18	Professional	26	$19.95	$30.20	$162.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $69.18 / $147.91	Professional	TC	$46.77	$69.18	$147.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $69.18 / $229.09	Professional		$44.67	$69.18	$229.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $23.99 / $66.07	Professional	26	$13.49	$23.99	$66.07
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $44.67 / $165.96	Professional	TC	$30.90	$44.67	$165.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.13 / $42.66 / $64.57	Facility	26	$8.13	$42.66	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $85.11 / $218.78	Professional		$37.15	$85.11	$218.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $27.54 / $60.26	Professional	26	$12.88	$27.54	$60.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $58.88 / $165.96	Professional	TC	$25.12	$58.88	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $91.20 / $223.87	Professional		$51.29	$91.20	$223.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $27.54 / $66.07	Professional	26	$15.85	$27.54	$66.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $66.07 / $158.49	Professional	TC	$34.67	$66.07	$158.49