Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $145.41 / $145.41 / $145.41	Facility	26	$145.41	$145.41	$145.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.27 / $70.65 / $89.26	Professional		$28.27	$70.65	$89.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.04 / $24.93 / $30.35	Professional	26	$16.04	$24.93	$30.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.23 / $47.17 / $59.19	Professional	TC	$12.23	$47.17	$59.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.82 / $49.14 / $169.26	Professional		$41.82	$49.14	$169.26
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.05 / $28.64 / $58.50	Professional	26	$20.05	$28.64	$58.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.35 / $20.50 / $37.25	Professional	TC	$14.35	$20.50	$37.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.19 / $81.68 / $162.06	Professional		$51.19	$81.68	$162.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.84 / $48.67 / $65.58	Professional	26	$29.84	$48.67	$65.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.35 / $32.51 / $108.49	Professional	TC	$21.35	$32.51	$108.49
United Facility/Professional Professional Modifier Low / Median / High Price $35.18 / $77.65 / $97.38	Professional		$35.18	$77.65	$97.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.69 / $33.21 / $40.47	Professional	26	$23.69	$33.21	$40.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.43 / $38.58 / $65.03	Professional	TC	$19.43	$38.58	$65.03