Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.98 / $48.98 / $48.98	Facility	26	$48.98	$48.98	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $234.42 / $338.84	Professional		$128.82	$234.42	$338.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $79.43 / $128.82	Professional	26	$47.86	$79.43	$128.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $125.89 / $218.78	Professional	TC	$77.62	$125.89	$218.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $537.03 / $537.03	Professional		$346.74	$537.03	$537.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $131.83 / $204.17 / $204.17	Professional	26	$131.83	$204.17	$204.17
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $331.13 / $331.13	Professional	TC	$213.80	$331.13	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $288.40 / $512.86	Professional		$194.98	$288.40	$512.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $107.15 / $194.98	Professional	26	$60.26	$107.15	$194.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $199.53 / $331.13	Professional	TC	$117.49	$199.53	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $295.12 / $724.44	Professional		$208.93	$295.12	$724.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $97.72 / $169.82	Professional	26	$45.71	$97.72	$169.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $181.97 / $562.34	Professional	TC	$147.91	$181.97	$562.34