Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.20 / $76.20 / $76.20	Professional		$76.20	$76.20	$76.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $37.15 / $37.15	Professional	26	$37.15	$37.15	$37.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $39.04 / $39.04 / $39.04	Professional	TC	$39.04	$39.04	$39.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $129.00 / $129.00	Professional		$105.00	$129.00	$129.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.00 / $64.00 / $64.00	Professional	26	$52.00	$64.00	$64.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.00 / $65.00 / $65.00	Professional	TC	$53.00	$65.00	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.73 / $95.85 / $133.65	Professional		$76.73	$95.85	$133.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.03 / $60.27 / $93.42	Professional	26	$49.03	$60.27	$93.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.80 / $28.63 / $62.26	Professional	TC	$23.80	$28.63	$62.26
United Facility/Professional Professional Modifier Low / Median / High Price $84.15 / $115.94 / $215.97	Professional		$84.15	$115.94	$215.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.04 / $72.22 / $146.30	Professional	26	$55.04	$72.22	$146.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.00 / $47.99 / $74.09	Professional	TC	$33.00	$47.99	$74.09