Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $64.57 / $64.57	Facility	26	$64.57	$64.57	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $154.88 / $309.03	Professional		$112.20	$154.88	$309.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $72.44 / $147.91	Professional	26	$54.95	$72.44	$147.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $81.28 / $169.82	Professional	TC	$53.70	$81.28	$169.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $501.19 / $501.19	Professional		$323.59	$501.19	$501.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $169.82 / $263.03 / $263.03	Professional	26	$169.82	$263.03	$263.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $234.42 / $234.42	Professional	TC	$151.36	$234.42	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $269.15 / $426.58	Professional		$181.97	$269.15	$426.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $102.33 / $165.96	Professional	26	$63.10	$102.33	$165.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $165.96 / $245.47	Professional	TC	$95.50	$165.96	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $263.03 / $691.83	Professional		$213.80	$263.03	$691.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $120.23 / $186.21	Professional	26	$56.23	$120.23	$186.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $151.36 / $512.86	Professional	TC	$107.15	$151.36	$512.86