Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $196.65 / $196.65 / $196.65	Facility	26	$196.65	$196.65	$196.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.77 / $50.29 / $78.61	Professional		$39.77	$50.29	$78.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.26 / $30.65 / $44.38	Professional	26	$6.26	$30.65	$44.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.74 / $23.59 / $43.08	Professional	TC	$15.74	$23.59	$43.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.73 / $79.68 / $87.98	Professional		$67.73	$79.68	$87.98
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.62 / $36.60 / $36.60	Professional	26	$25.62	$36.60	$36.60
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.16 / $43.08 / $43.08	Professional	TC	$30.16	$43.08	$43.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.44 / $97.98 / $144.91	Professional		$55.44	$97.98	$144.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.68 / $50.02 / $65.80	Professional	26	$35.68	$50.02	$65.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.76 / $52.27 / $82.80	Professional	TC	$19.76	$52.27	$82.80
United Facility/Professional Professional Modifier Low / Median / High Price $55.76 / $67.69 / $103.15	Professional		$55.76	$67.69	$103.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.29 / $37.42 / $54.72	Professional	26	$30.29	$37.42	$54.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.51 / $28.87 / $48.43	Professional	TC	$21.51	$28.87	$48.43