Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.98 / $48.98 / $48.98	Facility	26	$48.98	$48.98	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $144.54 / $354.81	Professional		$93.33	$144.54	$354.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $39.81 / $93.33	Professional	26	$23.99	$39.81	$93.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $112.20 / $223.87	Professional	TC	$85.11	$112.20	$223.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $186.21 / $204.17	Professional		$117.49	$186.21	$204.17
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $79.43 / $87.10	Professional	26	$41.69	$79.43	$87.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $107.15 / $120.23	Professional	TC	$75.86	$107.15	$120.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.69 / $41.69 / $41.69	Facility	26	$41.69	$41.69	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $165.96 / $363.08	Professional		$112.20	$165.96	$363.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $43.65 / $95.50	Professional	26	$28.84	$43.65	$95.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $125.89 / $275.42	Professional	TC	$85.11	$125.89	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $144.54 / $199.53	Professional		$104.71	$144.54	$199.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $36.31 / $52.48	Professional	26	$29.51	$36.31	$52.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $107.15 / $144.54	Professional	TC	$75.86	$107.15	$144.54