Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.89 / $52.89 / $111.09	Facility	26	$52.89	$52.89	$111.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.50 / $79.48 / $289.88	Professional		$55.50	$79.48	$289.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.50 / $24.03 / $84.24	Professional	26	$17.50	$24.03	$84.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $38.00 / $45.65 / $66.56	Professional	TC	$38.00	$45.65	$66.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.12 / $60.14 / $96.94	Professional		$51.12	$60.14	$96.94
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.48 / $20.69 / $32.42	Professional	26	$14.48	$20.69	$32.42
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.61 / $39.44 / $39.44	Professional	TC	$27.61	$39.44	$39.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.85 / $102.98 / $121.08	Professional		$56.85	$102.98	$121.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.38 / $32.26 / $37.83	Professional	26	$18.38	$32.26	$37.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.75 / $70.20 / $94.13	Professional	TC	$38.75	$70.20	$94.13
United Facility/Professional Professional Modifier Low / Median / High Price $53.52 / $85.17 / $119.54	Professional		$53.52	$85.17	$119.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.27 / $24.96 / $34.40	Professional	26	$18.27	$24.96	$34.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.57 / $52.44 / $86.92	Professional	TC	$35.57	$52.44	$86.92