Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $56.23 / $112.20	Facility	26	$40.74	$56.23	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $87.10 / $147.91	Professional		$72.44	$87.10	$147.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $44.67 / $81.28	Professional	26	$38.90	$44.67	$81.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $41.69 / $63.10	Professional	TC	$33.88	$41.69	$63.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $85.11 / $162.18	Professional		$57.54	$85.11	$162.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $50.12 / $91.20	Professional	26	$32.36	$50.12	$91.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $33.88 / $79.43	Professional	TC	$17.78	$33.88	$79.43
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.72 / $56.23 / $154.88	Facility	26	$10.72	$56.23	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $117.49 / $257.04	Professional		$69.18	$117.49	$257.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $66.07 / $134.90	Professional	26	$43.65	$66.07	$134.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $57.54 / $131.83	Professional	TC	$28.18	$57.54	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $95.50 / $186.21	Professional		$67.61	$95.50	$186.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $53.70 / $100.00	Professional	26	$38.02	$53.70	$100.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $43.65 / $89.13	Professional	TC	$26.92	$43.65	$89.13