Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $245.47 / $245.47 / $245.47	Facility	26	$245.47	$245.47	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $245.47 / $602.56	Professional		$141.25	$245.47	$602.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $60.26 / $169.82	Professional	26	$43.65	$60.26	$169.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $169.82 / $338.84	Professional	TC	$97.72	$169.82	$338.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $190.55 / $354.81	Professional		$144.54	$190.55	$354.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $60.26 / $97.72	Professional	26	$46.77	$60.26	$97.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $107.15 / $144.54	Professional	TC	$87.10	$107.15	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $275.42 / $426.58	Professional		$141.25	$275.42	$426.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $89.13 / $117.49	Professional	26	$39.81	$89.13	$117.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $190.55 / $338.84	Professional	TC	$97.72	$190.55	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $234.42 / $331.13	Professional		$158.49	$234.42	$331.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $57.54 / $93.33	Professional	26	$47.86	$57.54	$93.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $158.49 / $234.42	Professional	TC	$102.33	$158.49	$234.42