Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.55 / $36.31 / $104.71	Facility	26	$24.55	$36.31	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $162.18 / $489.78	Professional		$93.33	$162.18	$489.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $38.02 / $114.82	Professional	26	$22.91	$38.02	$114.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $87.10 / $181.97	Professional	TC	$67.61	$87.10	$181.97
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $26.92 / $26.92	Facility	26	$26.92	$26.92	$26.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $138.04 / $251.19	Professional		$93.33	$138.04	$251.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $37.15 / $69.18	Professional	26	$24.55	$37.15	$69.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $100.00 / $190.55	Professional	TC	$72.44	$100.00	$190.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.03 / $31.62 / $75.86	Facility	26	$6.03	$31.62	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $144.54 / $288.40	Professional		$102.33	$144.54	$288.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $37.15 / $72.44	Professional	26	$25.70	$37.15	$72.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $112.20 / $223.87	Professional	TC	$75.86	$112.20	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $125.89 / $223.87	Professional		$89.13	$125.89	$223.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $31.62 / $56.23	Professional	26	$22.39	$31.62	$56.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $93.33 / $169.82	Professional	TC	$66.07	$93.33	$169.82