Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $125.89 / $125.89	Facility	26	$125.89	$125.89	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $89.13 / $257.04	Professional		$61.66	$89.13	$257.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $57.54 / $144.54	Professional	26	$38.02	$57.54	$144.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $40.74 / $102.33	Professional	TC	$18.20	$40.74	$102.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $93.33 / $109.65	Professional		$67.61	$93.33	$109.65
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 $32.36 / $38.90 / $45.71	Professional	TC	$32.36	$38.90	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $114.82 / $173.78	Professional		$79.43	$114.82	$173.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $66.07 / $89.13	Professional	26	$43.65	$66.07	$89.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $47.86 / $91.20	Professional	TC	$34.67	$47.86	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $85.11 / $134.90	Professional		$69.18	$85.11	$134.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $52.48 / $77.62	Professional	26	$40.74	$52.48	$77.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $33.88 / $63.10	Professional	TC	$26.30	$33.88	$63.10