Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $110.90 / $110.90 / $203.02	Facility	26	$110.90	$110.90	$203.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.54 / $116.90 / $116.90	Professional		$110.54	$116.90	$116.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.95 / $65.81 / $65.81	Professional	26	$63.95	$65.81	$65.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $46.59 / $51.09 / $51.09	Professional	TC	$46.59	$51.09	$51.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.94 / $115.94 / $239.98	Professional		$115.94	$115.94	$239.98
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.03 / $85.76 / $118.28	Professional	26	$60.03	$85.76	$118.28
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.13 / $25.66 / $30.19	Professional	TC	$21.13	$25.66	$30.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.95 / $153.94 / $205.11	Professional		$58.95	$153.94	$205.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.64 / $118.54 / $152.31	Professional	26	$44.64	$118.54	$152.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.31 / $35.54 / $86.48	Professional	TC	$14.31	$35.54	$86.48
United Facility/Professional Professional Modifier Low / Median / High Price $30.58 / $121.70 / $202.93	Professional		$30.58	$121.70	$202.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.36 / $125.48 / $149.94	Professional	26	$39.36	$125.48	$149.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.02 / $37.84 / $64.41	Professional	TC	$23.02	$37.84	$64.41