Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $91.94 / $91.94 / $91.94	Facility	26	$91.94	$91.94	$91.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.22 / $70.19 / $110.30	Professional		$49.22	$70.19	$110.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.39 / $16.17 / $18.53	Professional	26	$12.39	$16.17	$18.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $36.83 / $51.21 / $62.80	Professional	TC	$36.83	$51.21	$62.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.95 / $76.90 / $130.47	Professional		$68.95	$76.90	$130.47
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.71 / $18.16 / $32.49	Professional	26	$12.71	$18.16	$32.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $41.12 / $58.74 / $60.75	Professional	TC	$41.12	$58.74	$60.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.69 / $93.74 / $133.65	Professional		$55.69	$93.74	$133.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $22.50 / $30.76	Professional	26	$13.18	$22.50	$30.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.10 / $72.27 / $107.83	Professional	TC	$42.10	$72.27	$107.83
United Facility/Professional Professional Modifier Low / Median / High Price $56.19 / $75.48 / $142.91	Professional		$56.19	$75.48	$142.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.19 / $19.19 / $30.76	Professional	26	$15.19	$19.19	$30.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.63 / $56.30 / $112.16	Professional	TC	$42.63	$56.30	$112.16