Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $134.19 / $144.90 / $217.35	Facility	26	$134.19	$144.90	$217.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.13 / $400.47 / $438.89	Professional		$277.13	$400.47	$438.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $98.34 / $144.90 / $144.90	Professional	26	$98.34	$144.90	$144.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $178.79 / $255.57 / $309.43	Professional	TC	$178.79	$255.57	$309.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $329.90 / $436.63 / $436.63	Professional		$329.90	$436.63	$436.63
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $97.11 / $128.53 / $128.53	Professional	26	$97.11	$128.53	$128.53
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $232.78 / $308.10 / $308.10	Professional	TC	$232.78	$308.10	$308.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $404.46 / $517.60 / $665.58	Professional		$404.46	$517.60	$665.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $147.86 / $185.55 / $229.85	Professional	26	$147.86	$185.55	$229.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $254.41 / $339.80 / $455.65	Professional	TC	$254.41	$339.80	$455.65
United Facility/Professional Professional Modifier Low / Median / High Price $281.31 / $356.57 / $672.07	Professional		$281.31	$356.57	$672.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $94.19 / $117.71 / $207.61	Professional	26	$94.19	$117.71	$207.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $176.99 / $252.77 / $469.79	Professional	TC	$176.99	$252.77	$469.79