Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.39 / $65.39 / $65.39	Professional		$65.39	$65.39	$65.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.74 / $23.74 / $23.74	Professional	26	$23.74	$23.74	$23.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $41.65 / $41.65 / $41.65	Professional	TC	$41.65	$41.65	$41.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.74 / $87.74 / $211.00	Professional		$87.74	$87.74	$211.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.94 / $49.00 / $77.00	Professional	26	$31.94	$49.00	$77.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $55.80 / $85.00 / $134.00	Professional	TC	$55.80	$85.00	$134.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.29 / $107.98 / $298.33	Professional		$30.29	$107.98	$298.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.59 / $38.88 / $108.60	Professional	26	$10.59	$38.88	$108.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.70 / $69.09 / $189.73	Professional	TC	$19.70	$69.09	$189.73
United Facility/Professional Professional Modifier Low / Median / High Price $45.04 / $138.26 / $168.91	Professional		$45.04	$138.26	$168.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.67 / $16.67 / $62.53	Professional	26	$16.67	$16.67	$62.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.37 / $88.78 / $106.38	Professional	TC	$28.37	$88.78	$106.38