Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $134.90 / $134.90 / $134.90	Facility	26	$134.90	$134.90	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $93.33 / $263.03	Professional		$57.54	$93.33	$263.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $52.48 / $141.25	Professional	26	$38.02	$52.48	$141.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $40.74 / $114.82	Professional	TC	$19.95	$40.74	$114.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $100.00 / $117.49	Professional		$70.79	$100.00	$117.49
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $40.74 / $57.54	Professional	26	$33.88	$40.74	$57.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $42.66 / $51.29	Professional	TC	$35.48	$42.66	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $123.03 / $186.21	Professional		$83.18	$123.03	$186.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $69.18 / $89.13	Professional	26	$43.65	$69.18	$89.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $52.48 / $100.00	Professional	TC	$38.02	$52.48	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $93.33 / $141.25	Professional		$72.44	$93.33	$141.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $54.95 / $79.43	Professional	26	$40.74	$54.95	$79.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $37.15 / $69.18	Professional	TC	$28.84	$37.15	$69.18