Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.06 / $79.06 / $94.00	Facility	26	$79.06	$79.06	$94.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.28 / $154.03 / $256.18	Professional		$96.28	$154.03	$256.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.02 / $76.44 / $135.34	Professional	26	$49.02	$76.44	$135.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $47.26 / $74.97 / $135.55	Professional	TC	$47.26	$74.97	$135.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.22 / $172.35 / $172.35	Professional		$130.22	$172.35	$172.35
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.93 / $89.90 / $89.90	Professional	26	$67.93	$89.90	$89.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $62.29 / $82.45 / $82.45	Professional	TC	$62.29	$82.45	$82.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.23 / $193.05 / $247.26	Professional		$116.23	$193.05	$247.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.05 / $88.46 / $114.87	Professional	26	$58.05	$88.46	$114.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $55.47 / $90.44 / $143.88	Professional	TC	$55.47	$90.44	$143.88
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $168.64 / $168.64 / $168.64	Professional		$168.64	$168.64	$168.64
United Facility/Professional Professional Modifier Low / Median / High Price $112.38 / $171.66 / $268.30	Professional		$112.38	$171.66	$268.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.84 / $79.92 / $117.54	Professional	26	$56.84	$79.92	$117.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $55.21 / $87.47 / $136.59	Professional	TC	$55.21	$87.47	$136.59