Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.28 / $128.28 / $128.28	Facility	26	$128.28	$128.28	$128.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.18 / $50.12 / $69.51	Professional		$32.18	$50.12	$69.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $4.00 / $21.13 / $37.14	Professional	26	$4.00	$21.13	$37.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.15 / $22.28 / $42.31	Professional	TC	$14.15	$22.28	$42.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.58 / $66.56 / $66.56	Professional		$56.58	$66.56	$66.56
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.72 / $23.89 / $23.89	Professional	26	$16.72	$23.89	$23.89
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.87 / $42.67 / $42.67	Professional	TC	$29.87	$42.67	$42.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.39 / $82.82 / $121.81	Professional		$41.39	$82.82	$121.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.61 / $33.54 / $42.92	Professional	26	$23.61	$33.54	$42.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.77 / $51.75 / $81.31	Professional	TC	$17.77	$51.75	$81.31
United Facility/Professional Professional Modifier Low / Median / High Price $44.76 / $54.80 / $83.50	Professional		$44.76	$54.80	$83.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.91 / $24.65 / $36.32	Professional	26	$19.91	$24.65	$36.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.73 / $28.51 / $47.80	Professional	TC	$20.73	$28.51	$47.80