Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $207.23 / $207.23 / $207.23	Facility	26	$207.23	$207.23	$207.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.17 / $125.83 / $669.00	Professional		$87.17	$125.83	$669.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.30 / $33.33 / $191.00	Professional	26	$25.30	$33.33	$191.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.86 / $91.68 / $102.17	Professional	TC	$61.86	$91.68	$102.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.47 / $131.13 / $250.95	Professional		$111.47	$131.13	$250.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.09 / $40.13 / $64.43	Professional	26	$28.09	$40.13	$64.43
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $63.71 / $91.01 / $91.01	Professional	TC	$63.71	$91.01	$91.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.48 / $157.44 / $223.71	Professional		$105.48	$157.44	$223.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.63 / $47.32 / $69.33	Professional	26	$30.63	$47.32	$69.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.66 / $109.50 / $154.38	Professional	TC	$70.66	$109.50	$154.38
United Facility/Professional Professional Modifier Low / Median / High Price $93.06 / $118.60 / $199.77	Professional		$93.06	$118.60	$199.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.69 / $43.25 / $63.84	Professional	26	$30.69	$43.25	$63.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $60.42 / $96.27 / $140.40	Professional	TC	$60.42	$96.27	$140.40