Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $314.01 / $314.01 / $314.01	Facility	26	$314.01	$314.01	$314.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.45 / $121.25 / $147.76	Professional		$109.45	$121.25	$147.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.75 / $33.68 / $173.54	Professional	26	$25.75	$33.68	$173.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.54 / $90.05 / $101.41	Professional	TC	$79.54	$90.05	$101.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.69 / $188.91 / $320.11	Professional		$188.69	$188.91	$320.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.01 / $60.01 / $64.52	Professional	26	$42.01	$60.01	$64.52
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $90.23 / $128.90 / $136.88	Professional	TC	$90.23	$128.90	$136.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.76 / $239.29 / $327.50	Professional		$135.76	$239.29	$327.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.29 / $72.81 / $105.06	Professional	26	$40.29	$72.81	$105.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $92.46 / $166.47 / $244.02	Professional	TC	$92.46	$166.47	$244.02
United Facility/Professional Professional Modifier Low / Median / High Price $100.96 / $163.24 / $261.18	Professional		$100.96	$163.24	$261.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.44 / $56.50 / $103.82	Professional	26	$31.44	$56.50	$103.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $67.18 / $130.36 / $229.26	Professional	TC	$67.18	$130.36	$229.26