Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $218.50 / $218.50 / $218.50	Facility	26	$218.50	$218.50	$218.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.20 / $87.42 / $93.92	Professional		$76.20	$87.42	$93.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.14 / $31.64 / $34.26	Professional	26	$27.14	$31.64	$34.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $49.06 / $54.39 / $55.88	Professional	TC	$49.06	$54.39	$55.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.20 / $93.19 / $195.18	Professional		$79.20	$93.19	$195.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.94 / $39.90 / $69.03	Professional	26	$27.94	$39.90	$69.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $37.29 / $53.28 / $53.28	Professional	TC	$37.29	$53.28	$53.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.70 / $113.21 / $203.45	Professional		$83.70	$113.21	$203.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.65 / $47.04 / $73.11	Professional	26	$31.65	$47.04	$73.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.52 / $69.93 / $130.34	Professional	TC	$47.52	$69.93	$130.34
United Facility/Professional Professional Modifier Low / Median / High Price $76.73 / $115.72 / $169.18	Professional		$76.73	$115.72	$169.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.11 / $45.25 / $62.25	Professional	26	$29.11	$45.25	$62.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $46.41 / $71.06 / $117.92	Professional	TC	$46.41	$71.06	$117.92