Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $423.49 / $423.49 / $423.49	Facility	26	$423.49	$423.49	$423.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.61 / $194.27 / $216.54	Professional		$107.61	$194.27	$216.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.79 / $53.54 / $96.04	Professional	26	$40.79	$53.54	$96.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.99 / $144.61 / $163.69	Professional	TC	$56.99	$144.61	$163.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.19 / $155.44 / $308.20	Professional		$141.19	$155.44	$308.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.11 / $81.59 / $105.60	Professional	26	$57.11	$81.59	$105.60
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $51.70 / $73.86 / $92.04	Professional	TC	$51.70	$73.86	$92.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.23 / $231.63 / $350.76	Professional		$125.23	$231.63	$350.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.53 / $99.30 / $141.71	Professional	26	$56.53	$99.30	$141.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $62.57 / $113.50 / $202.96	Professional	TC	$62.57	$113.50	$202.96
United Facility/Professional Professional Modifier Low / Median / High Price $141.47 / $234.72 / $568.76	Professional		$141.47	$234.72	$568.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.55 / $80.20 / $139.47	Professional	26	$45.55	$80.20	$139.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.65 / $102.35 / $421.72	Professional	TC	$69.65	$102.35	$421.72