Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.20 / $112.20 / $112.20	Facility	26	$112.20	$112.20	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $100.00 / $223.87	Professional		$69.18	$100.00	$223.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $40.74 / $85.11	Professional	26	$19.95	$40.74	$85.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $69.18 / $169.82	Professional	TC	$51.29	$69.18	$169.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $120.23 / $194.98	Professional		$91.20	$120.23	$194.98
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $35.48 / $46.77	Professional	26	$24.55	$35.48	$46.77
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $85.11 / $117.49	Professional	TC	$60.26	$85.11	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $158.49 / $223.87	Professional		$81.28	$158.49	$223.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $44.67 / $63.10	Professional	26	$20.42	$44.67	$63.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $128.82 / $162.18	Professional	TC	$56.23	$128.82	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $107.15 / $162.18	Professional		$63.10	$107.15	$162.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $33.88 / $54.95	Professional	26	$20.89	$33.88	$54.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $79.43 / $131.83	Professional	TC	$43.65	$79.43	$131.83