Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.56 / $85.56 / $87.11	Facility	26	$85.56	$85.56	$87.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.31 / $109.01 / $191.19	Professional		$84.31	$109.01	$191.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.37 / $77.01 / $173.80	Professional	26	$65.37	$77.01	$173.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.12 / $30.55 / $61.21	Professional	TC	$20.12	$30.55	$61.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.87 / $128.83 / $241.54	Professional		$54.87	$128.83	$241.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.58 / $87.43 / $168.41	Professional	26	$36.58	$87.43	$168.41
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.33 / $34.19 / $71.56	Professional	TC	$22.33	$34.19	$71.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $133.12 / $133.12 / $133.12	Facility	26	$133.12	$133.12	$133.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.44 / $109.60 / $226.64	Professional		$57.44	$109.60	$226.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.35 / $83.03 / $153.01	Professional	26	$41.35	$83.03	$153.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.31 / $32.54 / $75.77	Professional	TC	$14.31	$32.54	$75.77
United Facility/Professional Professional Modifier Low / Median / High Price $70.59 / $114.43 / $220.56	Professional		$70.59	$114.43	$220.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.45 / $87.38 / $170.43	Professional	26	$52.45	$87.38	$170.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.02 / $30.50 / $61.82	Professional	TC	$16.02	$30.50	$61.82