Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $134.61 / $134.61 / $134.61	Facility	26	$134.61	$134.61	$134.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.05 / $70.01 / $75.01	Professional		$50.05	$70.01	$75.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.71 / $20.82 / $22.13	Professional	26	$16.71	$20.82	$22.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.34 / $47.89 / $53.25	Professional	TC	$33.34	$47.89	$53.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.54 / $81.86 / $142.18	Professional		$72.54	$81.86	$142.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.95 / $25.64 / $42.85	Professional	26	$17.95	$25.64	$42.85
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.35 / $56.21 / $56.21	Professional	TC	$39.35	$56.21	$56.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.90 / $98.62 / $143.41	Professional		$58.90	$98.62	$143.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.27 / $30.93 / $45.04	Professional	26	$18.27	$30.93	$45.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.77 / $67.69 / $100.98	Professional	TC	$38.77	$67.69	$100.98
United Facility/Professional Professional Modifier Low / Median / High Price $54.20 / $80.28 / $146.69	Professional		$54.20	$80.28	$146.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.26 / $28.10 / $44.46	Professional	26	$20.26	$28.10	$44.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.34 / $52.22 / $100.13	Professional	TC	$41.34	$52.22	$100.13