Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $165.96 / $165.96 / $165.96	Facility	26	$165.96	$165.96	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $181.97 / $645.65	Professional		$93.33	$181.97	$645.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $46.77 / $169.82	Professional	26	$26.92	$46.77	$169.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $89.13 / $257.04	Professional	TC	$60.26	$89.13	$257.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $131.83 / $263.03	Professional		$97.72	$131.83	$263.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $39.81 / $67.61	Professional	26	$28.18	$39.81	$67.61
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $91.20 / $123.03	Professional	TC	$63.10	$91.20	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $151.36 / $257.04	Professional		$100.00	$151.36	$257.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $46.77 / $70.79	Professional	26	$29.51	$46.77	$70.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $104.71 / $181.97	Professional	TC	$69.18	$104.71	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $123.03 / $204.17	Professional		$85.11	$123.03	$204.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $38.90 / $64.57	Professional	26	$30.90	$38.90	$64.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $89.13 / $144.54	Professional	TC	$60.26	$89.13	$144.54