Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $13.80 / $28.18	Facility	26	$10.00	$13.80	$28.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $66.07 / $239.88	Professional		$36.31	$66.07	$239.88
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $13.80 / $51.29 / $125.89	Professional	25	$13.80	$51.29	$125.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $15.49 / $48.98	Professional	26	$9.55	$15.49	$48.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $41.69 / $79.43	Professional	TC	$25.70	$41.69	$79.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $60.26 / $107.15	Professional		$36.31	$60.26	$107.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $15.85 / $30.20	Professional	26	$9.77	$15.85	$30.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $44.67 / $81.28	Professional	TC	$29.51	$44.67	$81.28
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.45 / $13.18 / $22.91	Facility	26	$2.45	$13.18	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $72.44 / $128.82	Professional		$42.66	$72.44	$128.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $17.38 / $31.62	Professional	26	$10.96	$17.38	$31.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $54.95 / $100.00	Professional	TC	$31.62	$54.95	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $64.57 / $112.20	Professional		$45.71	$64.57	$112.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $14.79 / $25.70	Professional	26	$10.47	$14.79	$25.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $48.98 / $85.11	Professional	TC	$34.67	$48.98	$85.11