Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $175.15 / $175.15 / $243.68	Facility	26	$175.15	$175.15	$243.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.07 / $78.81 / $510.00	Professional		$45.07	$78.81	$510.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.34 / $28.26 / $59.02	Professional	26	$21.34	$28.26	$59.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.73 / $50.00 / $119.70	Professional	TC	$23.73	$50.00	$119.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.21 / $148.29 / $185.97	Professional		$125.21	$148.29	$185.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.52 / $39.31 / $52.44	Professional	26	$27.52	$39.31	$52.44
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $76.29 / $108.98 / $108.98	Professional	TC	$76.29	$108.98	$108.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.47 / $211.18 / $228.35	Professional		$91.47	$211.18	$228.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $53.99 / $58.60	Professional	26	$25.12	$53.99	$58.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $66.34 / $155.11 / $171.74	Professional	TC	$66.34	$155.11	$171.74
United Facility/Professional Professional Modifier Low / Median / High Price $80.95 / $126.71 / $229.03	Professional		$80.95	$126.71	$229.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.32 / $35.03 / $57.96	Professional	26	$24.32	$35.03	$57.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.43 / $95.23 / $167.39	Professional	TC	$56.43	$95.23	$167.39