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 $134.66 / $232.17 / $268.31	Professional		$134.66	$232.17	$268.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.00 / $49.16 / $54.29	Professional	26	$37.00	$49.16	$54.29
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 $162.09 / $191.39 / $422.11	Professional		$162.09	$191.39	$422.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.05 / $67.20 / $93.42	Professional	26	$47.05	$67.20	$93.42
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $86.93 / $124.18 / $139.90	Professional	TC	$86.93	$124.18	$139.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.29 / $289.44 / $396.47	Professional		$141.29	$289.44	$396.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.53 / $95.28 / $101.49	Professional	26	$43.53	$95.28	$101.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $98.40 / $180.11 / $280.08	Professional	TC	$98.40	$180.11	$280.08
United Facility/Professional Professional Modifier Low / Median / High Price $156.55 / $236.38 / $333.71	Professional		$156.55	$236.38	$333.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.24 / $63.30 / $100.24	Professional	26	$48.24	$63.30	$100.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $106.44 / $157.03 / $265.61	Professional	TC	$106.44	$157.03	$265.61