Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $66.07 / $204.17	Facility	26	$40.74	$66.07	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $91.20 / $204.17	Professional		$70.79	$91.20	$204.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $50.12 / $131.83	Professional	26	$38.02	$50.12	$131.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $42.66 / $79.43	Professional	TC	$24.55	$42.66	$79.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $93.33 / $181.97	Professional		$56.23	$93.33	$181.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $57.54 / $107.15	Professional	26	$38.02	$57.54	$107.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $36.31 / $83.18	Professional	TC	$19.05	$36.31	$83.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $52.48 / $131.83	Facility	26	$10.00	$52.48	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $263.03	Professional		$77.62	$112.20	$263.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $66.07 / $134.90	Professional	26	$42.66	$66.07	$134.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $48.98 / $138.04	Professional	TC	$28.18	$48.98	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $87.10 / $162.18	Professional		$63.10	$87.10	$162.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $52.48 / $93.33	Professional	26	$36.31	$52.48	$93.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $35.48 / $70.79	Professional	TC	$22.91	$35.48	$70.79