Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.77 / $22.77 / $22.77	Facility	26	$22.77	$22.77	$22.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.26 / $169.70 / $256.92	Professional		$121.26	$169.70	$256.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.79 / $21.70 / $47.49	Professional	26	$17.79	$21.70	$47.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $109.50 / $140.09 / $274.38	Professional	TC	$109.50	$140.09	$274.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.54 / $181.92 / $380.26	Professional		$64.54	$181.92	$380.26
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.29 / $27.18 / $64.67	Professional	26	$20.29	$27.18	$64.67
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $44.25 / $159.26 / $302.29	Professional	TC	$44.25	$159.26	$302.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.74 / $90.94 / $90.94	Facility	26	$80.74	$90.94	$90.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.17 / $154.47 / $322.49	Professional		$84.17	$154.47	$322.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.25 / $28.10 / $72.04	Professional	26	$12.25	$28.10	$72.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.43 / $120.78 / $261.58	Professional	TC	$61.43	$120.78	$261.58
United Facility/Professional Professional Modifier Low / Median / High Price $109.58 / $173.71 / $334.44	Professional		$109.58	$173.71	$334.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.59 / $28.58 / $63.08	Professional	26	$15.59	$28.58	$63.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $89.19 / $142.02 / $279.08	Professional	TC	$89.19	$142.02	$279.08