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 $158.49 / $263.03 / $660.69	Professional		$158.49	$263.03	$660.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $107.15 / $263.03	Professional	26	$54.95	$107.15	$263.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $173.78 / $338.84	Professional	TC	$100.00	$173.78	$338.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $234.42 / $426.58	Professional		$173.78	$234.42	$426.58
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 $102.33 / $125.89 / $173.78	Professional	TC	$102.33	$125.89	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $338.84 / $562.34	Professional		$173.78	$338.84	$562.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $114.82 / $131.83	Professional	26	$51.29	$114.82	$131.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $213.80 / $446.68	Professional	TC	$125.89	$213.80	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $257.04 / $371.54	Professional		$190.55	$257.04	$371.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $74.13 / $117.49	Professional	26	$54.95	$74.13	$117.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $177.83 / $257.04	Professional	TC	$120.23	$177.83	$257.04