Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $169.82 / $169.82 / $169.82	Facility	26	$169.82	$169.82	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $112.20 / $309.03	Professional		$70.79	$112.20	$309.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $93.33 / $302.00	Professional	26	$51.29	$93.33	$302.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $43.65 / $97.72	Professional	TC	$20.89	$43.65	$97.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $114.82 / $134.90	Professional		$83.18	$114.82	$134.90
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $54.95 / $77.62	Professional	26	$45.71	$54.95	$77.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $38.02 / $50.12	Professional	TC	$35.48	$38.02	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $141.25 / $213.80	Professional		$97.72	$141.25	$213.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $83.18 / $123.03	Professional	26	$58.88	$83.18	$123.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $52.48 / $100.00	Professional	TC	$38.90	$52.48	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $107.15 / $169.82	Professional		$87.10	$107.15	$169.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $67.61 / $100.00	Professional	26	$54.95	$67.61	$100.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $37.15 / $67.61	Professional	TC	$29.51	$37.15	$67.61