Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.88 / $58.88 / $58.88	Facility	26	$58.88	$58.88	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $102.33 / $251.19	Professional		$72.44	$102.33	$251.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $12.88 / $51.29	Professional	26	$10.00	$12.88	$51.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $89.13 / $223.87	Professional	TC	$63.10	$89.13	$223.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $125.89 / $234.42	Professional		$93.33	$125.89	$234.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $14.45 / $23.99	Professional	26	$10.23	$14.45	$23.99
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $97.72 / $141.25	Professional	TC	$77.62	$97.72	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $208.93 / $302.00	Professional		$89.13	$208.93	$302.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $23.44 / $25.70	Professional	26	$10.00	$23.44	$25.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $186.21 / $269.15	Professional	TC	$79.43	$186.21	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $144.54 / $234.42	Professional		$109.65	$144.54	$234.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $13.80 / $22.39	Professional	26	$10.47	$13.80	$22.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $131.83 / $204.17	Professional	TC	$97.72	$131.83	$204.17