Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $63.10 / $194.98	Facility	26	$40.74	$63.10	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $93.33 / $229.09	Professional		$66.07	$93.33	$229.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $51.29 / $141.25	Professional	26	$38.02	$51.29	$141.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $38.90 / $75.86	Professional	TC	$21.88	$38.90	$75.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $87.10 / $169.82	Professional		$56.23	$87.10	$169.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $54.95 / $104.71	Professional	26	$28.84	$54.95	$104.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $32.36 / $75.86	Professional	TC	$20.89	$32.36	$75.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $52.48 / $128.82	Facility	26	$10.00	$52.48	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $107.15 / $257.04	Professional		$72.44	$107.15	$257.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $63.10 / $134.90	Professional	26	$41.69	$63.10	$134.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $44.67 / $123.03	Professional	TC	$25.12	$44.67	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $83.18 / $154.88	Professional		$58.88	$83.18	$154.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $51.29 / $91.20	Professional	26	$36.31	$51.29	$91.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $32.36 / $64.57	Professional	TC	$20.89	$32.36	$64.57