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 / $247.66 / $268.32	Professional		$134.66	$247.66	$268.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.00 / $51.30 / $165.75	Professional	26	$37.00	$51.30	$165.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.67 / $201.04 / $214.02	Professional	TC	$97.67	$201.04	$214.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.46 / $227.36 / $419.58	Professional		$186.46	$227.36	$419.58
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.05 / $67.20 / $94.93	Professional	26	$47.05	$67.20	$94.93
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $112.11 / $160.15 / $160.15	Professional	TC	$112.11	$160.15	$160.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.68 / $341.40 / $374.33	Professional		$162.68	$341.40	$374.33
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 $115.11 / $246.12 / $275.97	Professional	TC	$115.11	$246.12	$275.97
United Facility/Professional Professional Modifier Low / Median / High Price $181.53 / $246.13 / $365.82	Professional		$181.53	$246.13	$365.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.48 / $63.30 / $105.13	Professional	26	$47.48	$63.30	$105.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $129.82 / $175.93 / $283.50	Professional	TC	$129.82	$175.93	$283.50