Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $211.49 / $211.49 / $211.49	Facility	26	$211.49	$211.49	$211.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.97 / $80.50 / $95.73	Professional		$66.97	$80.50	$95.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.96 / $32.52 / $173.89	Professional	26	$26.96	$32.52	$173.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.01 / $47.33 / $56.38	Professional	TC	$40.01	$47.33	$56.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.34 / $101.73 / $158.99	Professional		$94.34	$101.73	$158.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.62 / $40.89 / $67.11	Professional	26	$28.62	$40.89	$67.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $42.59 / $60.84 / $91.89	Professional	TC	$42.59	$60.84	$91.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.23 / $128.25 / $171.67	Professional		$73.23	$128.25	$171.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.89 / $49.36 / $70.77	Professional	26	$28.89	$49.36	$70.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $44.17 / $78.89 / $107.30	Professional	TC	$44.17	$78.89	$107.30
United Facility/Professional Professional Modifier Low / Median / High Price $75.09 / $101.74 / $155.37	Professional		$75.09	$101.74	$155.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.72 / $44.14 / $70.06	Professional	26	$32.72	$44.14	$70.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.15 / $59.59 / $118.54	Professional	TC	$31.15	$59.59	$118.54