Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.42 / $106.59 / $114.16	Professional		$77.42	$106.59	$114.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.41 / $22.74 / $28.15	Professional	26	$15.41	$22.74	$28.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.10 / $84.14 / $95.17	Professional	TC	$60.10	$84.14	$95.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $127.83 / $142.03	Professional		$96.58	$127.83	$142.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.84 / $24.94 / $27.71	Professional	26	$18.84	$24.94	$27.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $77.73 / $102.89 / $114.32	Professional	TC	$77.73	$102.89	$114.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $102.91 / $174.09	Professional		$72.37	$102.91	$174.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.88 / $26.27 / $36.61	Professional	26	$17.88	$26.27	$36.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.97 / $80.19 / $147.29	Professional	TC	$49.97	$80.19	$147.29
United Facility/Professional Professional Modifier Low / Median / High Price $69.08 / $109.72 / $198.77	Professional		$69.08	$109.72	$198.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.80 / $22.27 / $37.01	Professional	26	$17.80	$22.27	$37.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.31 / $86.46 / $163.69	Professional	TC	$50.31	$86.46	$163.69