Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $138.04 / $138.04 / $138.04	Facility	26	$138.04	$138.04	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $112.20 / $263.03	Professional		$75.86	$112.20	$263.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $32.36 / $147.91	Professional	26	$20.89	$32.36	$147.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $85.11 / $239.88	Professional	TC	$57.54	$85.11	$239.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $154.88 / $223.87	Professional		$117.49	$154.88	$223.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $33.88 / $58.88	Professional	26	$23.99	$33.88	$58.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $123.03 / $173.78	Professional	TC	$85.11	$123.03	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $190.55 / $295.12	Professional		$93.33	$190.55	$295.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $51.29 / $61.66	Professional	26	$23.44	$51.29	$61.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $151.36 / $234.42	Professional	TC	$67.61	$151.36	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $134.90 / $234.42	Professional		$95.50	$134.90	$234.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $34.67 / $56.23	Professional	26	$24.55	$34.67	$56.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $112.20 / $208.93	Professional	TC	$70.79	$112.20	$208.93