Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.08 / $45.08 / $45.94	Facility	26	$45.08	$45.08	$45.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.65 / $172.42 / $280.77	Professional		$123.65	$172.42	$280.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.25 / $49.32 / $109.41	Professional	26	$44.25	$49.32	$109.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.16 / $114.16 / $231.46	Professional	TC	$79.16	$114.16	$231.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $344.00 / $564.00 / $564.00	Professional		$344.00	$564.00	$564.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $120.00 / $196.00 / $196.00	Professional	26	$120.00	$196.00	$196.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $224.00 / $368.00 / $368.00	Professional	TC	$224.00	$368.00	$368.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.21 / $296.86 / $552.19	Professional		$212.21	$296.86	$552.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.17 / $95.53 / $153.27	Professional	26	$63.17	$95.53	$153.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $138.34 / $221.00 / $380.36	Professional	TC	$138.34	$221.00	$380.36
United Facility/Professional Professional Modifier Low / Median / High Price $215.15 / $305.07 / $771.10	Professional		$215.15	$305.07	$771.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.32 / $90.00 / $164.99	Professional	26	$43.32	$90.00	$164.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $165.75 / $206.16 / $591.80	Professional	TC	$165.75	$206.16	$591.80