Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $117.49 / $117.49	Facility	26	$117.49	$117.49	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $107.15 / $295.12	Professional		$39.81	$107.15	$295.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $56.23 / $138.04	Professional	26	$20.89	$56.23	$138.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $23.99 / $67.61	Professional	TC	$16.98	$23.99	$67.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $54.95 / $83.18	Professional		$41.69	$54.95	$83.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $28.84 / $50.12	Professional	26	$20.42	$28.84	$50.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $25.70 / $35.48	Professional	TC	$18.20	$25.70	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $69.18 / $107.15	Professional		$38.02	$69.18	$107.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $35.48 / $52.48	Professional	26	$22.39	$35.48	$52.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $35.48 / $74.13	Professional	TC	$19.95	$35.48	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $72.44 / $107.15	Professional		$45.71	$72.44	$107.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $28.84 / $45.71	Professional	26	$21.88	$28.84	$45.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $30.90 / $64.57	Professional	TC	$20.89	$30.90	$64.57