Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $288.40 / $288.40 / $288.40	Facility	26	$288.40	$288.40	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $245.47 / $602.56	Professional		$147.91	$245.47	$602.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $95.50 / $186.21	Professional	26	$53.70	$95.50	$186.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $158.49 / $380.19	Professional	TC	$81.28	$158.49	$380.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $199.53 / $371.54	Professional		$151.36	$199.53	$371.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $72.44 / $117.49	Professional	26	$56.23	$72.44	$117.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $104.71 / $141.25	Professional	TC	$85.11	$104.71	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $288.40 / $398.11	Professional		$120.23	$288.40	$398.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $107.15 / $123.03	Professional	26	$47.86	$107.15	$123.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $173.78 / $288.40	Professional	TC	$75.86	$173.78	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $229.09 / $323.59	Professional		$151.36	$229.09	$323.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $67.61 / $109.65	Professional	26	$51.29	$67.61	$109.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $131.83 / $223.87	Professional	TC	$89.13	$131.83	$223.87