Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $141.25 / $141.25 / $141.25	Facility	26	$141.25	$141.25	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $120.23 / $407.38	Professional		$56.23	$120.23	$407.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $53.70 / $123.03	Professional	26	$22.91	$53.70	$123.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $66.07 / $97.72	Professional	TC	$12.88	$66.07	$97.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $66.07 / $151.36	Professional		$50.12	$66.07	$151.36
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $39.81 / $69.18	Professional	26	$37.15	$39.81	$69.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $9.33 / $13.49 / $44.67	Professional	TC	$9.33	$13.49	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $109.65 / $223.87	Professional		$69.18	$109.65	$223.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $56.23 / $85.11	Professional	26	$32.36	$56.23	$85.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.79 / $64.57 / $165.96	Professional	TC	$14.79	$64.57	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $107.15 / $181.97	Professional		$67.61	$107.15	$181.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $38.90 / $83.18	Professional	26	$27.54	$38.90	$83.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $56.23 / $134.90	Professional	TC	$18.20	$56.23	$134.90