Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $149.56 / $149.56 / $149.56	Facility	26	$149.56	$149.56	$149.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $82.35 / $475.00	Professional		$36.61	$82.35	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.92 / $19.18 / $97.28	Professional	26	$16.92	$19.18	$97.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.48 / $56.82 / $64.33	Professional	TC	$18.48	$56.82	$64.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.13 / $62.50 / $192.62	Professional		$53.13	$62.50	$192.62
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.29 / $28.98 / $36.29	Professional	26	$20.29	$28.98	$36.29
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.47 / $33.53 / $33.53	Professional	TC	$23.47	$33.53	$33.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.77 / $88.53 / $115.58	Professional		$50.77	$88.53	$115.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.82 / $34.01 / $50.04	Professional	26	$19.82	$34.01	$50.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.66 / $42.26 / $83.12	Professional	TC	$25.66	$42.26	$83.12
United Facility/Professional Professional Modifier Low / Median / High Price $49.44 / $69.84 / $98.37	Professional		$49.44	$69.84	$98.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.42 / $28.20 / $44.68	Professional	26	$17.42	$28.20	$44.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.18 / $40.54 / $73.87	Professional	TC	$24.18	$40.54	$73.87