Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $166.58 / $166.58 / $166.58	Facility	26	$166.58	$166.58	$166.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.90 / $92.36 / $102.57	Professional		$75.90	$92.36	$102.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.97 / $25.79 / $28.34	Professional	26	$20.97	$25.79	$28.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.93 / $66.31 / $76.84	Professional	TC	$54.93	$66.31	$76.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.11 / $133.81 / $181.82	Professional		$117.11	$133.81	$181.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.26 / $31.80 / $53.11	Professional	26	$22.26	$31.80	$53.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $71.41 / $102.01 / $128.71	Professional	TC	$71.41	$102.01	$128.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.34 / $153.47 / $232.69	Professional		$96.34	$153.47	$232.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.97 / $38.86 / $55.74	Professional	26	$24.97	$38.86	$55.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.95 / $118.05 / $176.96	Professional	TC	$74.95	$118.05	$176.96
United Facility/Professional Professional Modifier Low / Median / High Price $87.77 / $132.19 / $202.61	Professional		$87.77	$132.19	$202.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.49 / $33.18 / $50.70	Professional	26	$24.49	$33.18	$50.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.98 / $104.15 / $160.09	Professional	TC	$61.98	$104.15	$160.09