Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $165.96 / $165.96 / $165.96	Facility	26	$165.96	$165.96	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $302.00	Professional		$87.10	$123.03	$302.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $60.26 / $120.23	Professional	26	$25.70	$60.26	$120.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $85.11 / $213.80	Professional	TC	$61.66	$85.11	$213.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $151.36 / $239.88	Professional		$112.20	$151.36	$239.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $46.77 / $69.18	Professional	26	$33.11	$46.77	$69.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $104.71 / $144.54	Professional	TC	$72.44	$104.71	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $204.17 / $281.84	Professional		$102.33	$204.17	$281.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $67.61 / $85.11	Professional	26	$30.90	$67.61	$85.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $147.91 / $199.53	Professional	TC	$69.18	$147.91	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $134.90 / $213.80	Professional		$79.43	$134.90	$213.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $45.71 / $75.86	Professional	26	$31.62	$45.71	$75.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $102.33 / $169.82	Professional	TC	$52.48	$102.33	$169.82