Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.38 / $30.90 / $79.43	Facility	26	$21.38	$30.90	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $138.04 / $323.59	Professional		$53.70	$138.04	$323.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $29.51 / $67.61	Professional	26	$17.38	$29.51	$67.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $112.20 / $218.78	Professional	TC	$91.20	$112.20	$218.78
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $26.30 / $26.30 / $26.30	Facility	26	$26.30	$26.30	$26.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $144.54 / $263.03	Professional		$97.72	$144.54	$263.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $22.91 / $41.69	Professional	26	$15.85	$22.91	$41.69
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $120.23 / $223.87	Professional	TC	$83.18	$120.23	$223.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.62 / $30.20 / $72.44	Facility	26	$5.62	$30.20	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $186.21 / $363.08	Professional		$120.23	$186.21	$363.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $28.18 / $63.10	Professional	26	$17.38	$28.18	$63.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $162.18 / $302.00	Professional	TC	$97.72	$162.18	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $281.84	Professional		$112.20	$162.18	$281.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $25.12 / $48.98	Professional	26	$15.85	$25.12	$48.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $138.04 / $239.88	Professional	TC	$91.20	$138.04	$239.88