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 / $247.94 / $268.31	Professional		$134.66	$247.94	$268.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.00 / $49.16 / $71.86	Professional	26	$37.00	$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 $161.68 / $190.91 / $420.09	Professional		$161.68	$190.91	$420.09
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 $86.58 / $123.69 / $138.83	Professional	TC	$86.58	$123.69	$138.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.58 / $275.00 / $381.07	Professional		$140.58	$275.00	$381.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.53 / $91.07 / $101.49	Professional	26	$43.53	$91.07	$101.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $97.59 / $179.43 / $271.35	Professional	TC	$97.59	$179.43	$271.35
United Facility/Professional Professional Modifier Low / Median / High Price $163.75 / $236.38 / $333.71	Professional		$163.75	$236.38	$333.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.11 / $63.30 / $100.24	Professional	26	$50.11	$63.30	$100.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $106.10 / $155.96 / $258.08	Professional	TC	$106.10	$155.96	$258.08