Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.89 / $112.89 / $112.89	Professional		$112.89	$112.89	$112.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.52 / $29.52 / $29.52	Professional	26	$29.52	$29.52	$29.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $83.38 / $83.38 / $83.38	Professional	TC	$83.38	$83.38	$83.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.30 / $193.00 / $305.00	Professional		$125.30	$193.00	$305.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.31 / $40.00 / $63.00	Professional	26	$26.31	$40.00	$63.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $98.99 / $150.00 / $238.00	Professional	TC	$98.99	$150.00	$238.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.44 / $141.25 / $426.05	Professional		$37.44	$141.25	$426.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $31.28 / $89.48	Professional	26	$11.48	$31.28	$89.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.96 / $109.97 / $336.57	Professional	TC	$25.96	$109.97	$336.57
United Facility/Professional Professional Modifier Low / Median / High Price $59.11 / $59.11 / $221.67	Professional		$59.11	$59.11	$221.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.86 / $40.65 / $51.98	Professional	26	$13.86	$40.65	$51.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.25 / $142.34 / $169.69	Professional	TC	$45.25	$142.34	$169.69