Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $113.05 / $113.05 / $113.05	Facility	26	$113.05	$113.05	$113.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.54 / $103.93 / $125.55	Professional		$55.54	$103.93	$125.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.77 / $18.82 / $100.00	Professional	26	$13.77	$18.82	$100.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $41.78 / $87.32 / $107.15	Professional	TC	$41.78	$87.32	$107.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.87 / $121.65 / $239.57	Professional		$114.87	$121.65	$239.57
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.51 / $22.16 / $35.63	Professional	26	$15.51	$22.16	$35.63
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $69.64 / $99.49 / $100.65	Professional	TC	$69.64	$99.49	$100.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.41 / $156.16 / $224.99	Professional		$84.41	$156.16	$224.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.35 / $26.87 / $37.82	Professional	26	$15.35	$26.87	$37.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $68.79 / $129.30 / $189.24	Professional	TC	$68.79	$129.30	$189.24
United Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $119.19 / $180.47	Professional		$69.84	$119.19	$180.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.95 / $21.59 / $31.46	Professional	26	$15.95	$21.59	$31.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.47 / $99.01 / $150.09	Professional	TC	$63.47	$99.01	$150.09