Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.08 / $75.08 / $137.43	Facility	26	$75.08	$75.08	$137.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.46 / $133.38 / $133.38	Professional		$118.46	$133.38	$133.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.52 / $44.45 / $44.45	Professional	26	$42.52	$44.45	$44.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $75.94 / $88.93 / $88.93	Professional	TC	$75.94	$88.93	$88.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.07 / $116.07 / $266.33	Professional		$116.07	$116.07	$266.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.06 / $41.52 / $59.35	Professional	26	$29.06	$41.52	$59.35
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $52.19 / $63.37 / $74.55	Professional	TC	$52.19	$63.37	$74.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.54 / $170.31 / $221.92	Professional		$63.54	$170.31	$221.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $67.92 / $80.45	Professional	26	$22.39	$67.92	$80.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.15 / $109.64 / $141.56	Professional	TC	$41.15	$109.64	$141.56
United Facility/Professional Professional Modifier Low / Median / High Price $74.77 / $157.81 / $249.19	Professional		$74.77	$157.81	$249.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.85 / $56.06 / $93.37	Professional	26	$26.85	$56.06	$93.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.92 / $90.93 / $149.66	Professional	TC	$43.92	$90.93	$149.66