Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.91 / $30.91 / $30.91	Facility	26	$30.91	$30.91	$30.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.65 / $137.44 / $154.62	Professional		$101.65	$137.44	$154.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.76 / $30.91 / $32.61	Professional	26	$20.76	$30.91	$32.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $69.04 / $110.22 / $123.72	Professional	TC	$69.04	$110.22	$123.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.95 / $138.29 / $163.18	Professional		$100.95	$138.29	$163.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.73 / $32.51 / $38.36	Professional	26	$23.73	$32.51	$38.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $77.22 / $105.78 / $124.82	Professional	TC	$77.22	$105.78	$124.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.05 / $167.70 / $393.95	Professional		$119.05	$167.70	$393.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.15 / $30.96 / $72.48	Professional	26	$23.15	$30.96	$72.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $110.78 / $149.30 / $321.45	Professional	TC	$110.78	$149.30	$321.45
United Facility/Professional Professional Modifier Low / Median / High Price $124.24 / $157.37 / $255.68	Professional		$124.24	$157.37	$255.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.30 / $25.74 / $38.88	Professional	26	$20.30	$25.74	$38.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $98.98 / $131.65 / $217.61	Professional	TC	$98.98	$131.65	$217.61