Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $91.20 / $91.20 / $151.36	Facility	26	$91.20	$91.20	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $162.18 / $489.78	Professional		$77.62	$162.18	$489.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $69.18 / $169.82	Professional	26	$28.84	$69.18	$169.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $63.10 / $223.87	Professional	TC	$41.69	$63.10	$223.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $100.00 / $190.55	Professional		$75.86	$100.00	$190.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $38.02 / $63.10	Professional	26	$26.92	$38.02	$63.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $63.10 / $85.11	Professional	TC	$43.65	$63.10	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $120.23 / $186.21	Professional		$77.62	$120.23	$186.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $44.67 / $67.61	Professional	26	$28.84	$44.67	$67.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $77.62 / $123.03	Professional	TC	$47.86	$77.62	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $97.72 / $154.88	Professional		$77.62	$97.72	$154.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $37.15 / $60.26	Professional	26	$28.18	$37.15	$60.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $61.66 / $102.33	Professional	TC	$47.86	$61.66	$102.33