Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $40.74 / $40.74	Facility	26	$40.74	$40.74	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $138.04 / $275.42	Professional		$93.33	$138.04	$275.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $53.70 / $102.33	Professional	26	$36.31	$53.70	$102.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $74.13 / $162.18	Professional	TC	$57.54	$74.13	$162.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $426.58 / $426.58	Professional		$281.84	$426.58	$426.58
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $158.49 / $158.49	Professional	26	$102.33	$158.49	$158.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $269.15 / $269.15	Professional	TC	$177.83	$269.15	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $194.98 / $331.13	Professional		$97.72	$194.98	$331.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $70.79 / $125.89	Professional	26	$39.81	$70.79	$125.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $112.20 / $213.80	Professional	TC	$58.88	$112.20	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $204.17 / $380.19	Professional		$100.00	$204.17	$380.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $75.86 / $134.90	Professional	26	$40.74	$75.86	$134.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $125.89 / $245.47	Professional	TC	$57.54	$125.89	$245.47