Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.88 / $128.46 / $128.46	Professional		$127.88	$128.46	$128.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.17 / $15.40 / $15.40	Professional	26	$15.17	$15.40	$15.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $112.71 / $113.06 / $113.06	Professional	TC	$112.71	$113.06	$113.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.00 / $238.00 / $238.00	Professional		$193.00	$238.00	$238.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.00 / $26.00 / $26.00	Professional	26	$21.00	$26.00	$26.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $172.00 / $212.00 / $212.00	Professional	TC	$172.00	$212.00	$212.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.54 / $102.35 / $150.58	Professional		$83.54	$102.35	$150.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.81 / $19.05 / $21.89	Professional	26	$11.81	$19.05	$21.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $71.45 / $83.16 / $128.69	Professional	TC	$71.45	$83.16	$128.69
United Facility/Professional Professional Modifier Low / Median / High Price $92.80 / $168.78 / $209.52	Professional		$92.80	$168.78	$209.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.23 / $24.09 / $30.25	Professional	26	$14.23	$24.09	$30.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $79.36 / $141.43 / $179.27	Professional	TC	$79.36	$141.43	$179.27