Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.92 / $26.21 / $44.38	Facility	26	$22.92	$26.21	$44.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.97 / $128.43 / $237.17	Professional		$110.97	$128.43	$237.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.49 / $23.20 / $49.67	Professional	26	$14.49	$23.20	$49.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $94.10 / $109.25 / $172.15	Professional	TC	$94.10	$109.25	$172.15
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $26.59 / $26.59 / $26.59	Facility	26	$26.59	$26.59	$26.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.53 / $134.32 / $222.62	Professional		$111.53	$134.32	$222.62
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.35 / $24.27 / $37.42	Professional	26	$17.35	$24.27	$37.42
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $92.85 / $114.00 / $187.09	Professional	TC	$92.85	$114.00	$187.09
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.70 / $26.70 / $26.70	Facility	26	$26.70	$26.70	$26.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.12 / $187.78 / $307.95	Professional		$123.12	$187.78	$307.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.76 / $27.76 / $52.15	Professional	26	$17.76	$27.76	$52.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $99.57 / $156.93 / $258.85	Professional	TC	$99.57	$156.93	$258.85
United Facility/Professional Professional Modifier Low / Median / High Price $122.07 / $175.11 / $281.61	Professional		$122.07	$175.11	$281.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.35 / $26.78 / $49.56	Professional	26	$17.35	$26.78	$49.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $100.80 / $143.66 / $246.40	Professional	TC	$100.80	$143.66	$246.40