Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.50 / $19.62 / $21.42	Facility	26	$19.50	$19.62	$21.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.06 / $74.14 / $159.19	Professional		$68.06	$74.14	$159.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.82 / $20.48 / $45.41	Professional	26	$17.82	$20.48	$45.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $49.31 / $54.52 / $95.34	Professional	TC	$49.31	$54.52	$95.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.93 / $88.99 / $150.00	Professional		$68.93	$88.99	$150.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.57 / $23.55 / $40.73	Professional	26	$19.57	$23.55	$40.73
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $50.16 / $63.72 / $104.90	Professional	TC	$50.16	$63.72	$104.90
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.32 / $23.32 / $23.32	Facility	26	$23.32	$23.32	$23.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.55 / $67.55 / $67.55	Professional		$67.55	$67.55	$67.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.45 / $18.45 / $18.45	Professional	26	$18.45	$18.45	$18.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.10 / $49.10 / $49.10	Professional	TC	$49.10	$49.10	$49.10
United Facility/Professional Professional Modifier Low / Median / High Price $75.13 / $108.08 / $179.06	Professional		$75.13	$108.08	$179.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.78 / $25.12 / $44.18	Professional	26	$18.78	$25.12	$44.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $53.63 / $83.39 / $139.19	Professional	TC	$53.63	$83.39	$139.19