Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.30 / $26.30 / $26.30	Facility	26	$26.30	$26.30	$26.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $125.89 / $213.80	Professional		$81.28	$125.89	$213.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $47.86 / $85.11	Professional	26	$25.70	$47.86	$85.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $85.11 / $169.82	Professional	TC	$54.95	$85.11	$169.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $407.38 / $407.38	Professional		$263.03	$407.38	$407.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $109.65 / $109.65	Professional	26	$70.79	$109.65	$109.65
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $295.12 / $295.12	Professional	TC	$190.55	$295.12	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $194.98 / $398.11	Professional		$91.20	$194.98	$398.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $57.54 / $120.23	Professional	26	$30.20	$57.54	$120.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $134.90 / $281.84	Professional	TC	$61.66	$134.90	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $190.55 / $316.23	Professional		$91.20	$190.55	$316.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $52.48 / $89.13	Professional	26	$23.44	$52.48	$89.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $138.04 / $223.87	Professional	TC	$67.61	$138.04	$223.87