Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $160.25 / $160.25 / $160.25	Facility	26	$160.25	$160.25	$160.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.81 / $92.14 / $121.35	Professional		$82.81	$92.14	$121.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.78 / $25.39 / $139.83	Professional	26	$19.78	$25.39	$139.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.92 / $71.70 / $96.68	Professional	TC	$59.92	$71.70	$96.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.44 / $152.72 / $203.17	Professional		$145.44	$152.72	$203.17
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.69 / $30.98 / $49.36	Professional	26	$21.69	$30.98	$49.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $85.23 / $121.75 / $137.84	Professional	TC	$85.23	$121.75	$137.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.64 / $197.73 / $267.00	Professional		$92.64	$197.73	$267.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.10 / $37.86 / $53.63	Professional	26	$22.10	$37.86	$53.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $77.23 / $159.85 / $232.61	Professional	TC	$77.23	$159.85	$232.61
United Facility/Professional Professional Modifier Low / Median / High Price $78.97 / $154.62 / $291.76	Professional		$78.97	$154.62	$291.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.23 / $30.60 / $47.95	Professional	26	$17.23	$30.60	$47.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.51 / $129.85 / $216.55	Professional	TC	$56.51	$129.85	$216.55