Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $258.35 / $258.35 / $359.44	Facility	26	$258.35	$258.35	$359.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.81 / $199.54 / $216.13	Professional		$90.81	$199.54	$216.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.57 / $44.84 / $234.00	Professional	26	$31.57	$44.84	$234.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.24 / $142.12 / $171.29	Professional	TC	$59.24	$142.12	$171.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.80 / $157.37 / $330.48	Professional		$131.80	$157.37	$330.48
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.29 / $57.57 / $78.92	Professional	26	$40.29	$57.57	$78.92
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $69.86 / $99.80 / $99.80	Professional	TC	$69.86	$99.80	$99.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.80 / $224.07 / $312.08	Professional		$104.80	$224.07	$312.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.11 / $81.02 / $86.45	Professional	26	$37.11	$81.02	$86.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $67.62 / $143.06 / $202.84	Professional	TC	$67.62	$143.06	$202.84
United Facility/Professional Professional Modifier Low / Median / High Price $109.93 / $186.02 / $262.62	Professional		$109.93	$186.02	$262.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.11 / $48.61 / $85.26	Professional	26	$37.11	$48.61	$85.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $73.34 / $108.18 / $196.00	Professional	TC	$73.34	$108.18	$196.00