Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $245.58 / $245.58 / $245.58	Facility	26	$245.58	$245.58	$245.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.51 / $112.01 / $120.48	Professional		$89.51	$112.01	$120.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.90 / $33.68 / $173.54	Professional	26	$25.90	$33.68	$173.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $63.61 / $78.34 / $87.26	Professional	TC	$63.61	$78.34	$87.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.31 / $151.24 / $230.24	Professional		$140.31	$151.24	$230.24
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.00 / $47.14 / $65.20	Professional	26	$33.00	$47.14	$65.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $72.88 / $104.11 / $107.21	Professional	TC	$72.88	$104.11	$107.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.49 / $190.75 / $275.64	Professional		$105.49	$190.75	$275.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.34 / $56.36 / $82.17	Professional	26	$32.34	$56.36	$82.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $72.19 / $134.38 / $197.61	Professional	TC	$72.19	$134.38	$197.61
United Facility/Professional Professional Modifier Low / Median / High Price $80.29 / $151.91 / $230.24	Professional		$80.29	$151.91	$230.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.43 / $51.25 / $80.98	Professional	26	$31.43	$51.25	$80.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $57.50 / $89.65 / $157.43	Professional	TC	$57.50	$89.65	$157.43