Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $168.76 / $168.76 / $168.76	Facility	26	$168.76	$168.76	$168.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $102.36 / $113.53	Professional		$68.50	$102.36	$113.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.03 / $25.60 / $132.83	Professional	26	$20.03	$25.60	$132.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.47 / $76.28 / $84.97	Professional	TC	$48.47	$76.28	$84.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.97 / $124.08 / $213.73	Professional		$110.97	$124.08	$213.73
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.56 / $32.22 / $50.68	Professional	26	$22.56	$32.22	$50.68
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.30 / $91.85 / $93.69	Professional	TC	$64.30	$91.85	$93.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.66 / $150.86 / $218.67	Professional		$89.66	$150.86	$218.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.98 / $39.36 / $56.46	Professional	26	$22.98	$39.36	$56.46
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.59 / $111.48 / $167.72	Professional	TC	$63.59	$111.48	$167.72
United Facility/Professional Professional Modifier Low / Median / High Price $75.34 / $121.06 / $222.32	Professional		$75.34	$121.06	$222.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.06 / $35.22 / $55.88	Professional	26	$24.06	$35.22	$55.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.98 / $85.84 / $175.70	Professional	TC	$61.98	$85.84	$175.70