Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $303.31 / $303.31 / $422.00	Facility	26	$303.31	$303.31	$422.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.32 / $232.80 / $268.31	Professional		$137.32	$232.80	$268.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.65 / $49.16 / $71.86	Professional	26	$39.65	$49.16	$71.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.67 / $177.61 / $214.02	Professional	TC	$97.67	$177.61	$214.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.49 / $191.88 / $429.99	Professional		$162.49	$191.88	$429.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.05 / $67.20 / $99.30	Professional	26	$47.05	$67.20	$99.30
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $87.27 / $124.67 / $139.90	Professional	TC	$87.27	$124.67	$139.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.29 / $275.00 / $385.35	Professional		$141.29	$275.00	$385.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.63 / $95.28 / $101.49	Professional	26	$46.63	$95.28	$101.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $98.95 / $180.80 / $274.33	Professional	TC	$98.95	$180.80	$274.33
United Facility/Professional Professional Modifier Low / Median / High Price $162.19 / $236.38 / $333.71	Professional		$162.19	$236.38	$333.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.49 / $63.30 / $100.24	Professional	26	$49.49	$63.30	$100.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $106.82 / $179.26 / $261.08	Professional	TC	$106.82	$179.26	$261.08