Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.95 / $56.95 / $104.26	Facility	26	$56.95	$56.95	$104.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.44 / $162.83 / $162.83	Professional		$158.44	$162.83	$162.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.14 / $33.14 / $79.17	Professional	26	$33.14	$33.14	$79.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $124.18 / $129.68 / $129.68	Professional	TC	$124.18	$129.68	$129.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $273.97 / $273.97 / $349.90	Professional		$273.97	$273.97	$349.90
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.13 / $40.18 / $58.88	Professional	26	$28.13	$40.18	$58.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $163.65 / $198.72 / $233.79	Professional	TC	$163.65	$198.72	$233.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.55 / $311.20 / $485.75	Professional		$115.55	$311.20	$485.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.22 / $61.03 / $73.91	Professional	26	$22.22	$61.03	$73.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $90.10 / $247.70 / $420.09	Professional	TC	$90.10	$247.70	$420.09
United Facility/Professional Professional Modifier Low / Median / High Price $99.84 / $364.45 / $535.16	Professional		$99.84	$364.45	$535.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.13 / $47.60 / $76.16	Professional	26	$22.13	$47.60	$76.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $78.73 / $316.85 / $464.32	Professional	TC	$78.73	$316.85	$464.32