Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $155.94 / $155.94 / $155.94	Facility	26	$155.94	$155.94	$155.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.66 / $134.16 / $654.00	Professional		$108.66	$134.16	$654.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.48 / $33.72 / $138.30	Professional	26	$24.48	$33.72	$138.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $82.80 / $100.44 / $137.19	Professional	TC	$82.80	$100.44	$137.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.60 / $117.18 / $219.34	Professional		$99.60	$117.18	$219.34
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.30 / $29.00 / $44.90	Professional	26	$20.30	$29.00	$44.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $61.73 / $88.18 / $88.18	Professional	TC	$61.73	$88.18	$88.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.24 / $186.04 / $223.80	Professional		$110.24	$186.04	$223.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.84 / $45.23 / $53.04	Professional	26	$25.84	$45.23	$53.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $95.99 / $140.80 / $177.49	Professional	TC	$95.99	$140.80	$177.49
United Facility/Professional Professional Modifier Low / Median / High Price $97.65 / $127.25 / $196.96	Professional		$97.65	$127.25	$196.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.55 / $34.71 / $47.46	Professional	26	$25.55	$34.71	$47.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $67.91 / $99.01 / $156.97	Professional	TC	$67.91	$99.01	$156.97