Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.38 / $83.38 / $83.38	Facility	26	$83.38	$83.38	$83.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.86 / $50.07 / $109.49	Professional		$40.86	$50.07	$109.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.69 / $12.78 / $14.25	Professional	26	$10.69	$12.78	$14.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.18 / $36.67 / $44.07	Professional	TC	$30.18	$36.67	$44.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.67 / $76.08 / $151.97	Professional		$64.67	$76.08	$151.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.55 / $16.50 / $16.50	Professional	26	$11.55	$16.50	$16.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $41.71 / $59.58 / $59.58	Professional	TC	$41.71	$59.58	$59.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.40 / $89.20 / $119.87	Professional		$51.40	$89.20	$119.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $19.47 / $27.90	Professional	26	$11.48	$19.47	$27.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.92 / $69.73 / $94.94	Professional	TC	$39.92	$69.73	$94.94
United Facility/Professional Professional Modifier Low / Median / High Price $46.61 / $70.98 / $139.78	Professional		$46.61	$70.98	$139.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.00 / $17.39 / $28.10	Professional	26	$13.00	$17.39	$28.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.65 / $53.58 / $109.05	Professional	TC	$34.65	$53.58	$109.05