Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $204.17 / $346.74	Facility	26	$72.44	$204.17	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $123.03 / $363.08	Professional		$83.18	$123.03	$363.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $100.00 / $275.42	Professional	26	$64.57	$100.00	$275.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $32.36 / $79.43	Professional	TC	$19.05	$32.36	$79.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $100.00 / $281.84	Professional		$54.95	$100.00	$281.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $74.13 / $181.97	Professional	26	$36.31	$74.13	$181.97
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $24.55 / $91.20	Professional	TC	$10.96	$24.55	$91.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $112.20 / $169.82	Facility	26	$20.89	$112.20	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $109.65 / $239.88	Professional		$56.23	$109.65	$239.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $83.18 / $169.82	Professional	26	$40.74	$83.18	$169.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.49 / $31.62 / $83.18	Professional	TC	$13.49	$31.62	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $114.82 / $234.42	Professional		$67.61	$114.82	$234.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $83.18 / $181.97	Professional	26	$48.98	$83.18	$181.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $30.20 / $69.18	Professional	TC	$15.85	$30.20	$69.18