Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $309.03 / $309.03 / $309.03	Facility	26	$309.03	$309.03	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $309.03 / $851.14	Professional		$165.96	$309.03	$851.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $93.33 / $199.53	Professional	26	$56.23	$93.33	$199.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $199.53 / $446.68	Professional	TC	$120.23	$199.53	$446.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $257.04 / $457.09	Professional		$190.55	$257.04	$457.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $77.62 / $125.89	Professional	26	$60.26	$77.62	$125.89
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $147.91 / $199.53	Professional	TC	$120.23	$147.91	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $363.08 / $512.86	Professional		$158.49	$363.08	$512.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $117.49 / $131.83	Professional	26	$51.29	$117.49	$131.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $245.47 / $380.19	Professional	TC	$109.65	$245.47	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $281.84 / $407.38	Professional		$194.98	$281.84	$407.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $72.44 / $117.49	Professional	26	$54.95	$72.44	$117.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $186.21 / $281.84	Professional	TC	$125.89	$186.21	$281.84