Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.96 / $22.54 / $34.09	Facility	26	$18.96	$22.54	$34.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.39 / $68.20 / $204.33	Professional		$50.39	$68.20	$204.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.04 / $23.10 / $77.09	Professional	26	$17.04	$23.10	$77.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.40 / $45.64 / $77.42	Professional	TC	$32.40	$45.64	$77.42
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $19.03 / $19.03 / $19.03	Facility	26	$19.03	$19.03	$19.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.93 / $84.37 / $144.00	Professional		$50.93	$84.37	$144.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.65 / $25.87 / $44.09	Professional	26	$17.65	$25.87	$44.09
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.95 / $62.01 / $102.60	Professional	TC	$33.95	$62.01	$102.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.10 / $20.10 / $20.10	Facility	26	$20.10	$20.10	$20.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.30 / $84.67 / $139.80	Professional		$53.30	$84.67	$139.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.39 / $26.40 / $45.74	Professional	26	$18.39	$26.40	$45.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.08 / $57.11 / $97.76	Professional	TC	$36.08	$57.11	$97.76
United Facility/Professional Professional Modifier Low / Median / High Price $51.52 / $84.18 / $128.56	Professional		$51.52	$84.18	$128.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.01 / $24.70 / $40.11	Professional	26	$18.01	$24.70	$40.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.94 / $52.11 / $90.68	Professional	TC	$33.94	$52.11	$90.68