Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $131.83 / $131.83 / $131.83	Facility	26	$131.83	$131.83	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $141.25 / $478.63	Professional		$44.67	$141.25	$478.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $47.86 / $91.20	Professional	26	$25.70	$47.86	$91.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $75.86 / $186.21	Professional	TC	$22.91	$75.86	$186.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $147.91 / $194.98	Professional		$112.20	$147.91	$194.98
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $35.48 / $54.95	Professional	26	$27.54	$35.48	$54.95
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $91.20 / $125.89	Professional	TC	$75.86	$91.20	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $204.17 / $275.42	Professional		$87.10	$204.17	$275.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $53.70 / $75.86	Professional	26	$23.44	$53.70	$75.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $151.36 / $190.55	Professional	TC	$64.57	$151.36	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $114.82 / $194.98	Professional		$77.62	$114.82	$194.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $33.11 / $53.70	Professional	26	$24.55	$33.11	$53.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $87.10 / $144.54	Professional	TC	$54.95	$87.10	$144.54