Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.25 / $16.25 / $16.25	Facility	26	$16.25	$16.25	$16.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.81 / $117.71 / $157.58	Professional		$96.81	$117.71	$157.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.60 / $14.87 / $19.66	Professional	26	$12.60	$14.87	$19.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $83.86 / $102.75 / $132.91	Professional	TC	$83.86	$102.75	$132.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.51 / $113.89 / $201.17	Professional		$89.51	$113.89	$201.17
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.15 / $16.52 / $26.53	Professional	26	$13.15	$16.52	$26.53
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $71.34 / $92.68 / $178.82	Professional	TC	$71.34	$92.68	$178.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.85 / $16.85 / $16.85	Facility	26	$16.85	$16.85	$16.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.76 / $134.74 / $227.19	Professional		$86.76	$134.74	$227.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.48 / $18.14 / $32.60	Professional	26	$12.48	$18.14	$32.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.54 / $117.17 / $198.12	Professional	TC	$74.54	$117.17	$198.12
United Facility/Professional Professional Modifier Low / Median / High Price $81.87 / $107.20 / $198.45	Professional		$81.87	$107.20	$198.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.42 / $15.42 / $27.26	Professional	26	$12.42	$15.42	$27.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $68.98 / $95.00 / $166.21	Professional	TC	$68.98	$95.00	$166.21