Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.13 / $72.13 / $72.13	Facility	26	$72.13	$72.13	$72.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.69 / $189.91 / $205.63	Professional		$131.69	$189.91	$205.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.67 / $69.95 / $75.73	Professional	26	$47.67	$69.95	$75.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $84.36 / $119.91 / $129.90	Professional	TC	$84.36	$119.91	$129.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.77 / $296.95 / $350.40	Professional		$216.77	$296.95	$350.40
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.03 / $58.94 / $69.55	Professional	26	$43.03	$58.94	$69.55
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $173.75 / $238.01 / $280.85	Professional	TC	$173.75	$238.01	$280.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.01 / $321.06 / $840.42	Professional		$234.01	$321.06	$840.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.61 / $61.62 / $150.81	Professional	26	$49.61	$61.62	$150.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $190.33 / $257.64 / $689.61	Professional	TC	$190.33	$257.64	$689.61
United Facility/Professional Professional Modifier Low / Median / High Price $232.10 / $286.54 / $395.43	Professional		$232.10	$286.54	$395.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.28 / $58.94 / $81.34	Professional	26	$46.28	$58.94	$81.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $179.37 / $230.62 / $314.08	Professional	TC	$179.37	$230.62	$314.08