Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $292.50 / $292.50 / $406.96	Facility	26	$292.50	$292.50	$406.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.38 / $162.22 / $176.89	Professional		$84.38	$162.22	$176.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.20 / $46.88 / $62.57	Professional	26	$36.20	$46.88	$62.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.18 / $117.54 / $127.40	Professional	TC	$48.18	$117.54	$127.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.72 / $192.78 / $331.53	Professional		$150.72	$192.78	$331.53
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.95 / $64.20 / $91.37	Professional	26	$44.95	$64.20	$91.37
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $89.99 / $128.56 / $128.56	Professional	TC	$89.99	$128.56	$128.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.86 / $276.27 / $299.32	Professional		$132.86	$276.27	$299.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.60 / $91.02 / $97.88	Professional	26	$42.60	$91.02	$97.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $87.08 / $185.25 / $207.50	Professional	TC	$87.08	$185.25	$207.50
United Facility/Professional Professional Modifier Low / Median / High Price $143.30 / $186.58 / $297.89	Professional		$143.30	$186.58	$297.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.67 / $55.94 / $95.46	Professional	26	$43.67	$55.94	$95.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.44 / $131.83 / $187.38	Professional	TC	$97.44	$131.83	$187.38