Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.57 / $103.55 / $103.55	Facility	26	$56.57	$103.55	$103.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.00 / $129.47 / $154.60	Professional		$124.00	$129.47	$154.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.03 / $43.56 / $103.55	Professional	26	$33.03	$43.56	$103.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $85.90 / $90.97 / $119.06	Professional	TC	$85.90	$90.97	$119.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.85 / $174.85 / $303.54	Professional		$174.85	$174.85	$303.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.85 / $41.21 / $97.04	Professional	26	$28.85	$41.21	$97.04
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $93.55 / $133.63 / $133.63	Professional	TC	$93.55	$133.63	$133.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.48 / $109.25 / $307.95	Professional		$88.48	$109.25	$307.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.41 / $59.76 / $79.78	Professional	26	$22.41	$59.76	$79.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.23 / $85.30 / $240.09	Professional	TC	$63.23	$85.30	$240.09
United Facility/Professional Professional Modifier Low / Median / High Price $50.86 / $192.20 / $307.52	Professional		$50.86	$192.20	$307.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.46 / $47.24 / $75.58	Professional	26	$30.46	$47.24	$75.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.70 / $144.96 / $231.94	Professional	TC	$30.70	$144.96	$231.94