Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $111.15 / $111.15 / $111.15	Facility	26	$111.15	$111.15	$111.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.69 / $65.69 / $74.97	Professional		$53.69	$65.69	$74.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.02 / $16.30 / $24.15	Professional	26	$13.02	$16.30	$24.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.67 / $49.39 / $58.88	Professional	TC	$40.67	$49.39	$58.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.34 / $100.40 / $202.99	Professional		$85.34	$100.40	$202.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.81 / $21.15 / $24.36	Professional	26	$14.81	$21.15	$24.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $55.48 / $79.25 / $80.59	Professional	TC	$55.48	$79.25	$80.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.95 / $119.14 / $160.24	Professional		$67.95	$119.14	$160.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.01 / $25.48 / $37.19	Professional	26	$15.01	$25.48	$37.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $52.94 / $93.66 / $127.22	Professional	TC	$52.94	$93.66	$127.22
United Facility/Professional Professional Modifier Low / Median / High Price $61.09 / $86.23 / $152.59	Professional		$61.09	$86.23	$152.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.82 / $22.74 / $36.82	Professional	26	$15.82	$22.74	$36.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $46.66 / $76.75 / $141.28	Professional	TC	$46.66	$76.75	$141.28