Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $197.34 / $266.39 / $266.39	Facility	26	$197.34	$266.39	$266.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.04 / $680.37 / $918.49	Professional		$300.04	$680.37	$918.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $101.25 / $197.34 / $266.39	Professional	26	$101.25	$197.34	$266.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $199.37 / $483.03 / $652.09	Professional	TC	$199.37	$483.03	$652.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $301.49 / $413.00 / $487.34	Professional		$301.49	$413.00	$487.34
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $104.16 / $142.69 / $168.37	Professional	26	$104.16	$142.69	$168.37
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $197.33 / $270.31 / $318.97	Professional	TC	$197.33	$270.31	$318.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.60 / $382.60 / $922.60	Professional		$316.60	$382.60	$922.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $96.05 / $136.55 / $326.24	Professional	26	$96.05	$136.55	$326.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $196.40 / $247.06 / $596.36	Professional	TC	$196.40	$247.06	$596.36
United Facility/Professional Professional Modifier Low / Median / High Price $263.37 / $327.98 / $532.38	Professional		$263.37	$327.98	$532.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.92 / $114.44 / $169.08	Professional	26	$83.92	$114.44	$169.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $176.34 / $228.47 / $363.30	Professional	TC	$176.34	$228.47	$363.30