Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $190.21 / $190.21 / $190.21	Facility	26	$190.21	$190.21	$190.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.51 / $114.93 / $124.24	Professional		$85.51	$114.93	$124.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.49 / $26.29 / $40.78	Professional	26	$23.49	$26.29	$40.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.73 / $78.92 / $89.35	Professional	TC	$19.73	$78.92	$89.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.38 / $66.33 / $244.46	Professional		$56.38	$66.33	$244.46
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.07 / $52.95 / $59.97	Professional	26	$37.07	$52.95	$59.97
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $9.35 / $13.36 / $13.36	Professional	TC	$9.35	$13.36	$13.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.13 / $100.28 / $172.12	Professional		$69.13	$100.28	$172.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.99 / $52.96 / $78.13	Professional	26	$33.99	$52.96	$78.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.92 / $43.25 / $130.21	Professional	TC	$14.92	$43.25	$130.21
United Facility/Professional Professional Modifier Low / Median / High Price $79.04 / $108.94 / $143.99	Professional		$79.04	$108.94	$143.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.89 / $39.70 / $82.71	Professional	26	$26.89	$39.70	$82.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.54 / $59.04 / $99.57	Professional	TC	$22.54	$59.04	$99.57