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 / $283.43	Professional	26	$37.00	$51.30	$283.43
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 $162.68 / $191.39 / $420.94	Professional		$162.68	$191.39	$420.94
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 $86.93 / $124.18 / $139.36	Professional	TC	$86.93	$124.18	$139.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.94 / $275.00 / $375.07	Professional		$140.94	$275.00	$375.07
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 / $253.41	Professional	TC	$97.59	$179.43	$253.41
United Facility/Professional Professional Modifier Low / Median / High Price $155.83 / $223.08 / $305.64	Professional		$155.83	$223.08	$305.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.72 / $63.30 / $133.91	Professional	26	$48.72	$63.30	$133.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $104.45 / $151.53 / $222.19	Professional	TC	$104.45	$151.53	$222.19