Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.75 / $74.75 / $104.00	Facility	26	$74.75	$74.75	$104.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.32 / $90.59 / $171.00	Professional		$57.32	$90.59	$171.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.14 / $11.77 / $17.96	Professional	26	$9.14	$11.77	$17.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.18 / $77.58 / $119.70	Professional	TC	$48.18	$77.58	$119.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.51 / $125.74 / $221.59	Professional		$108.51	$125.74	$221.59
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.14 / $14.49 / $23.00	Professional	26	$10.14	$14.49	$23.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $77.88 / $111.25 / $111.25	Professional	TC	$77.88	$111.25	$111.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.60 / $213.95 / $239.52	Professional		$99.60	$213.95	$239.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.74 / $23.68 / $25.02	Professional	26	$10.74	$23.68	$25.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $87.41 / $190.09 / $214.08	Professional	TC	$87.41	$190.09	$214.08
United Facility/Professional Professional Modifier Low / Median / High Price $109.47 / $147.53 / $211.72	Professional		$109.47	$147.53	$211.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.41 / $14.60 / $25.12	Professional	26	$10.41	$14.60	$25.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $103.58 / $137.32 / $189.09	Professional	TC	$103.58	$137.32	$189.09