Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.00 / $96.00 / $96.00	Facility	26	$96.00	$96.00	$96.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.69 / $151.37 / $284.61	Professional		$132.69	$151.37	$284.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.15 / $95.13 / $183.25	Professional	26	$73.15	$95.13	$183.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $57.37 / $67.28 / $98.80	Professional	TC	$57.37	$67.28	$98.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.52 / $132.38 / $198.73	Professional		$112.52	$132.38	$198.73
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.89 / $76.98 / $93.72	Professional	26	$53.89	$76.98	$93.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $38.77 / $55.39 / $55.39	Professional	TC	$38.77	$55.39	$55.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.06 / $138.31 / $297.20	Professional		$81.06	$138.31	$297.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $97.69 / $175.58	Professional	26	$81.28	$97.69	$175.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $59.89 / $76.45 / $132.53	Professional	TC	$59.89	$76.45	$132.53
United Facility/Professional Professional Modifier Low / Median / High Price $139.02 / $164.81 / $247.15	Professional		$139.02	$164.81	$247.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.31 / $102.68 / $136.94	Professional	26	$81.31	$102.68	$136.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $65.44 / $82.65 / $110.21	Professional	TC	$65.44	$82.65	$110.21