Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $90.95 / $90.95 / $196.54	Facility	26	$90.95	$90.95	$196.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.09 / $141.29 / $485.00	Professional		$78.09	$141.29	$485.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.59 / $55.59 / $169.57	Professional	26	$24.59	$55.59	$169.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.07 / $60.55 / $94.12	Professional	TC	$42.07	$60.55	$94.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.84 / $100.99 / $180.45	Professional		$85.84	$100.99	$180.45
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.64 / $38.04 / $59.66	Professional	26	$26.64	$38.04	$59.66
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $44.06 / $62.94 / $62.94	Professional	TC	$44.06	$62.94	$62.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.51 / $121.31 / $171.34	Professional		$81.51	$121.31	$171.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.84 / $44.92 / $65.76	Professional	26	$29.84	$44.92	$65.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $48.12 / $76.81 / $105.58	Professional	TC	$48.12	$76.81	$105.58
United Facility/Professional Professional Modifier Low / Median / High Price $77.66 / $106.86 / $154.01	Professional		$77.66	$106.86	$154.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.44 / $41.02 / $58.75	Professional	26	$28.44	$41.02	$58.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.57 / $65.84 / $96.02	Professional	TC	$47.57	$65.84	$96.02