Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $294.06 / $294.06 / $294.06	Facility	26	$294.06	$294.06	$294.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.90 / $145.06 / $163.13	Professional		$69.90	$145.06	$163.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.98 / $16.71 / $44.65	Professional	26	$12.98	$16.71	$44.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.80 / $129.36 / $146.43	Professional	TC	$48.80	$129.36	$146.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.78 / $119.39 / $202.74	Professional		$107.78	$119.39	$202.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.65 / $48.53 / $56.03	Professional	26	$33.65	$48.53	$56.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $44.35 / $63.36 / $79.17	Professional	TC	$44.35	$63.36	$79.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.95 / $155.59 / $273.31	Professional		$84.95	$155.59	$273.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.44 / $68.14 / $98.40	Professional	26	$21.44	$68.14	$98.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $53.34 / $96.46 / $172.85	Professional	TC	$53.34	$96.46	$172.85
United Facility/Professional Professional Modifier Low / Median / High Price $102.56 / $182.34 / $528.41	Professional		$102.56	$182.34	$528.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.52 / $55.27 / $96.34	Professional	26	$16.52	$55.27	$96.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.85 / $85.52 / $421.73	Professional	TC	$38.85	$85.52	$421.73