Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $281.84 / $281.84 / $281.84	Facility	26	$281.84	$281.84	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $204.17 / $457.09	Professional		$107.15	$204.17	$457.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $69.18 / $173.78	Professional	26	$47.86	$69.18	$173.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $114.82 / $354.81	Professional	TC	$56.23	$114.82	$354.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $154.88 / $323.59	Professional		$117.49	$154.88	$323.59
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $81.28 / $109.65	Professional	26	$57.54	$81.28	$109.65
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $74.13 / $100.00	Professional	TC	$51.29	$74.13	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $245.47 / $398.11	Professional		$109.65	$245.47	$398.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $109.65 / $144.54	Professional	26	$48.98	$109.65	$144.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $123.03 / $426.58	Professional	TC	$63.10	$123.03	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $208.93 / $575.44	Professional		$141.25	$208.93	$575.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $79.43 / $131.83	Professional	26	$52.48	$79.43	$131.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $102.33 / $426.58	Professional	TC	$69.18	$102.33	$426.58