Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $280.31 / $280.31 / $280.31	Facility	26	$280.31	$280.31	$280.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.86 / $60.27 / $70.68	Professional		$43.86	$60.27	$70.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.95 / $40.33 / $48.48	Professional	26	$30.95	$40.33	$48.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.91 / $18.03 / $22.20	Professional	TC	$12.91	$18.03	$22.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $78.61 / $132.75	Professional		$69.84	$78.61	$132.75
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.71 / $55.30 / $93.34	Professional	26	$38.71	$55.30	$93.34
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.32 / $23.32 / $47.65	Professional	TC	$16.32	$23.32	$47.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.88 / $132.35 / $180.51	Professional		$81.88	$132.35	$180.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.59 / $93.79 / $125.50	Professional	26	$57.59	$93.79	$125.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.29 / $38.56 / $55.01	Professional	TC	$24.29	$38.56	$55.01
United Facility/Professional Professional Modifier Low / Median / High Price $48.15 / $72.53 / $110.06	Professional		$48.15	$72.53	$110.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.24 / $64.02 / $78.00	Professional	26	$38.24	$64.02	$78.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.52 / $27.25 / $32.06	Professional	TC	$16.52	$27.25	$32.06