Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $310.10 / $310.10 / $310.10	Facility	26	$310.10	$310.10	$310.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.39 / $95.59 / $120.75	Professional		$63.39	$95.59	$120.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.68 / $43.43 / $85.69	Professional	26	$33.68	$43.43	$85.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.71 / $54.64 / $68.53	Professional	TC	$29.71	$54.64	$68.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.59 / $114.46 / $235.33	Professional		$101.59	$114.46	$235.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.06 / $60.08 / $101.48	Professional	26	$42.06	$60.08	$101.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $38.06 / $54.37 / $111.00	Professional	TC	$38.06	$54.37	$111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.23 / $193.31 / $264.64	Professional		$119.23	$193.31	$264.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.59 / $103.19 / $137.66	Professional	26	$62.59	$103.19	$137.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.64 / $89.55 / $126.98	Professional	TC	$56.64	$89.55	$126.98
United Facility/Professional Professional Modifier Low / Median / High Price $96.72 / $157.24 / $214.72	Professional		$96.72	$157.24	$214.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.70 / $73.34 / $86.29	Professional	26	$41.70	$73.34	$86.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.39 / $71.90 / $128.71	Professional	TC	$44.39	$71.90	$128.71