Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.27 / $116.29 / $130.12	Facility	26	$109.27	$116.29	$130.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.39 / $339.99 / $388.76	Professional		$234.39	$339.99	$388.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.20 / $116.29 / $118.64	Professional	26	$78.20	$116.29	$118.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $156.19 / $223.69 / $282.23	Professional	TC	$156.19	$223.69	$282.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $271.05 / $358.74 / $358.74	Professional		$271.05	$358.74	$358.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $77.45 / $102.51 / $102.51	Professional	26	$77.45	$102.51	$102.51
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $193.60 / $256.23 / $256.23	Professional	TC	$193.60	$256.23	$256.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $443.52 / $551.27	Professional		$208.00	$443.52	$551.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $118.65 / $147.58 / $160.75	Professional	26	$118.65	$147.58	$160.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $220.28 / $318.20 / $394.40	Professional	TC	$220.28	$318.20	$394.40
United Facility/Professional Professional Modifier Low / Median / High Price $248.16 / $314.75 / $553.73	Professional		$248.16	$314.75	$553.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $76.80 / $92.46 / $165.13	Professional	26	$76.80	$92.46	$165.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $179.56 / $242.40 / $385.79	Professional	TC	$179.56	$242.40	$385.79