Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $99.38 / $99.38 / $134.16	Facility	26	$99.38	$99.38	$134.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.13 / $160.86 / $205.60	Professional		$138.13	$160.86	$205.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.64 / $82.78 / $104.34	Professional	26	$66.64	$82.78	$104.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $57.53 / $81.30 / $101.25	Professional	TC	$57.53	$81.30	$101.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.79 / $164.10 / $193.64	Professional		$119.79	$164.10	$193.64
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.39 / $81.36 / $96.00	Professional	26	$59.39	$81.36	$96.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $60.40 / $82.74 / $97.63	Professional	TC	$60.40	$82.74	$97.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.41 / $175.74 / $598.11	Professional		$131.41	$175.74	$598.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.23 / $87.34 / $301.62	Professional	26	$74.23	$87.34	$301.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.36 / $86.55 / $296.45	Professional	TC	$35.36	$86.55	$296.45
United Facility/Professional Professional Modifier Low / Median / High Price $111.41 / $146.15 / $223.33	Professional		$111.41	$146.15	$223.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.62 / $81.36 / $121.60	Professional	26	$59.62	$81.36	$121.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.81 / $74.87 / $108.71	Professional	TC	$45.81	$74.87	$108.71