Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $199.01 / $199.01 / $199.01	Facility	26	$199.01	$199.01	$199.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $75.56 / $624.37	Professional		$48.71	$75.56	$624.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.52 / $34.58 / $337.35	Professional	26	$23.52	$34.58	$337.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.67 / $35.34 / $44.39	Professional	TC	$22.67	$35.34	$44.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.86 / $80.83 / $140.97	Professional		$70.86	$80.83	$140.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.56 / $39.36 / $66.67	Professional	26	$27.56	$39.36	$66.67
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.02 / $41.46 / $83.23	Professional	TC	$29.02	$41.46	$83.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.20 / $135.74 / $185.86	Professional		$84.20	$135.74	$185.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.01 / $66.58 / $90.00	Professional	26	$41.01	$66.58	$90.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.19 / $69.16 / $95.86	Professional	TC	$43.19	$69.16	$95.86
United Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $92.65 / $112.88	Professional		$50.00	$92.65	$112.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.18 / $47.07 / $55.38	Professional	26	$27.18	$47.07	$55.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.29 / $48.88 / $57.50	Professional	TC	$34.29	$48.88	$57.50