Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.27 / $98.27 / $98.27	Facility	26	$98.27	$98.27	$98.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.46 / $61.40 / $249.44	Professional		$49.46	$61.40	$249.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.00 / $16.00 / $82.19	Professional	26	$12.00	$16.00	$82.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.46 / $45.50 / $52.58	Professional	TC	$37.46	$45.50	$52.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.80 / $88.24 / $181.34	Professional		$75.80	$88.24	$181.34
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.01 / $18.57 / $21.53	Professional	26	$13.01	$18.57	$21.53
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.76 / $69.66 / $69.66	Professional	TC	$48.76	$69.66	$69.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.53 / $106.43 / $143.66	Professional		$63.53	$106.43	$143.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.24 / $22.44 / $32.89	Professional	26	$13.24	$22.44	$32.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $46.99 / $83.98 / $114.17	Professional	TC	$46.99	$83.98	$114.17
United Facility/Professional Professional Modifier Low / Median / High Price $56.24 / $79.59 / $134.18	Professional		$56.24	$79.59	$134.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.58 / $20.51 / $32.26	Professional	26	$14.58	$20.51	$32.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.99 / $65.40 / $123.99	Professional	TC	$42.99	$65.40	$123.99