Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.62 / $77.62 / $77.62	Facility	26	$77.62	$77.62	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $194.98 / $616.60	Professional		$107.15	$194.98	$616.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $38.02 / $125.89	Professional	26	$23.44	$38.02	$125.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $102.33 / $239.88	Professional	TC	$75.86	$102.33	$239.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $117.49 / $229.09	Professional		$87.10	$117.49	$229.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $28.84 / $46.77	Professional	26	$20.42	$28.84	$46.77
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $89.13 / $123.03	Professional	TC	$61.66	$89.13	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $169.82 / $223.87	Professional		$100.00	$169.82	$223.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $42.66 / $53.70	Professional	26	$25.70	$42.66	$53.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $131.83 / $177.83	Professional	TC	$95.50	$131.83	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.89 / $223.87	Professional		$100.00	$125.89	$223.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $34.67 / $56.23	Professional	26	$25.70	$34.67	$56.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $100.00 / $173.78	Professional	TC	$74.13	$100.00	$173.78