Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.81 / $50.81 / $93.02	Facility	26	$50.81	$50.81	$93.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $172.27	Professional		$85.00	$85.00	$172.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.12 / $30.12 / $70.25	Professional	26	$30.12	$30.12	$70.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.88 / $54.88 / $124.95	Professional	TC	$54.88	$54.88	$124.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.63 / $149.63 / $395.36	Professional		$149.63	$149.63	$395.36
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.62 / $40.88 / $76.94	Professional	26	$28.62	$40.88	$76.94
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $76.14 / $92.45 / $108.77	Professional	TC	$76.14	$92.45	$108.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.41 / $158.22 / $310.89	Professional		$61.41	$158.22	$310.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.16 / $56.44 / $89.78	Professional	26	$21.16	$56.44	$89.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.18 / $102.37 / $216.34	Professional	TC	$38.18	$102.37	$216.34
United Facility/Professional Professional Modifier Low / Median / High Price $74.77 / $183.64 / $231.31	Professional		$74.77	$183.64	$231.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.00 / $53.73 / $71.38	Professional	26	$36.00	$53.73	$71.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.77 / $118.80 / $155.79	Professional	TC	$34.77	$118.80	$155.79