Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.49 / $56.49 / $56.49	Facility	26	$56.49	$56.49	$56.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.28 / $145.77 / $200.60	Professional		$121.28	$145.77	$200.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.09 / $43.90 / $63.44	Professional	26	$40.09	$43.90	$63.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.83 / $105.68 / $153.26	Professional	TC	$79.83	$105.68	$153.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.23 / $117.92 / $293.70	Professional		$100.23	$117.92	$293.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.36 / $43.37 / $65.73	Professional	26	$30.36	$43.37	$65.73
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $52.19 / $74.55 / $74.55	Professional	TC	$52.19	$74.55	$74.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.77 / $157.22 / $270.58	Professional		$130.77	$157.22	$270.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.64 / $54.71 / $98.05	Professional	26	$45.64	$54.71	$98.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $82.79 / $106.18 / $172.54	Professional	TC	$82.79	$106.18	$172.54
United Facility/Professional Professional Modifier Low / Median / High Price $116.31 / $157.38 / $221.95	Professional		$116.31	$157.38	$221.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.81 / $55.98 / $77.89	Professional	26	$43.81	$55.98	$77.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $67.81 / $101.41 / $150.22	Professional	TC	$67.81	$101.41	$150.22