Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $89.13 / $89.13	Facility	26	$89.13	$89.13	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $154.88 / $524.81	Professional		$69.18	$154.88	$524.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $50.12 / $269.15	Professional	26	$14.13	$50.12	$269.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $100.00 / $512.86	Professional	TC	$43.65	$100.00	$512.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $120.23 / $213.80	Professional		$89.13	$120.23	$213.80
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $41.69 / $74.13	Professional	26	$35.48	$41.69	$74.13
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $63.10 / $85.11	Professional	TC	$44.67	$63.10	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $181.97 / $309.03	Professional		$81.28	$181.97	$309.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $53.70 / $102.33	Professional	26	$15.49	$53.70	$102.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $104.71 / $398.11	Professional	TC	$53.70	$104.71	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $524.81	Professional		$109.65	$154.88	$524.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $50.12 / $89.13	Professional	26	$16.60	$50.12	$89.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $87.10 / $426.58	Professional	TC	$60.26	$87.10	$426.58