Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.58 / $58.58 / $58.58	Facility	26	$58.58	$58.58	$58.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.89 / $118.94 / $259.12	Professional		$84.89	$118.94	$259.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.08 / $64.06 / $149.33	Professional	26	$42.08	$64.06	$149.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $39.92 / $50.75 / $64.45	Professional	TC	$39.92	$50.75	$64.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.50 / $93.53 / $129.55	Professional		$79.50	$93.53	$129.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.88 / $44.12 / $65.33	Professional	26	$30.88	$44.12	$65.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.58 / $49.40 / $49.40	Professional	TC	$34.58	$49.40	$49.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.06 / $105.04 / $198.69	Professional		$81.06	$105.04	$198.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.39 / $55.99 / $100.33	Professional	26	$46.39	$55.99	$100.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.96 / $67.95 / $114.77	Professional	TC	$54.96	$67.95	$114.77
United Facility/Professional Professional Modifier Low / Median / High Price $92.94 / $108.43 / $165.23	Professional		$92.94	$108.43	$165.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.88 / $56.66 / $78.00	Professional	26	$43.88	$56.66	$78.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $46.27 / $57.24 / $87.23	Professional	TC	$46.27	$57.24	$87.23