Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $166.64 / $166.64 / $166.64	Facility	26	$166.64	$166.64	$166.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $108.18 / $125.75	Professional		$79.43	$108.18	$125.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.48 / $25.14 / $29.75	Professional	26	$20.48	$25.14	$29.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $58.95 / $81.41 / $99.83	Professional	TC	$58.95	$81.41	$99.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.43 / $162.38 / $215.82	Professional		$148.43	$162.38	$215.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.16 / $33.08 / $52.79	Professional	26	$23.16	$33.08	$52.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $90.52 / $129.31 / $136.07	Professional	TC	$90.52	$129.31	$136.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.03 / $201.79 / $248.40	Professional		$103.03	$201.79	$248.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.25 / $39.90 / $55.75	Professional	26	$23.25	$39.90	$55.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $89.46 / $161.88 / $240.21	Professional	TC	$89.46	$161.88	$240.21
United Facility/Professional Professional Modifier Low / Median / High Price $95.23 / $133.52 / $290.14	Professional		$95.23	$133.52	$290.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.50 / $34.78 / $51.11	Professional	26	$24.50	$34.78	$51.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $70.73 / $118.54 / $250.78	Professional	TC	$70.73	$118.54	$250.78