Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $232.70 / $232.70 / $232.70	Facility	26	$232.70	$232.70	$232.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.20 / $151.91 / $157.94	Professional		$125.20	$151.91	$157.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.11 / $34.56 / $36.63	Professional	26	$28.11	$34.56	$36.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.08 / $115.28 / $120.47	Professional	TC	$97.08	$115.28	$120.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.63 / $183.11 / $309.89	Professional		$155.63	$183.11	$309.89
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.95 / $44.21 / $71.06	Professional	26	$30.95	$44.21	$71.06
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $97.23 / $138.90 / $138.90	Professional	TC	$97.23	$138.90	$138.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.88 / $220.60 / $319.61	Professional		$140.88	$220.60	$319.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.82 / $51.72 / $77.87	Professional	26	$33.82	$51.72	$77.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $104.63 / $168.32 / $241.74	Professional	TC	$104.63	$168.32	$241.74
United Facility/Professional Professional Modifier Low / Median / High Price $120.56 / $190.99 / $289.17	Professional		$120.56	$190.99	$289.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.21 / $43.28 / $68.37	Professional	26	$31.21	$43.28	$68.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $87.00 / $150.78 / $219.89	Professional	TC	$87.00	$150.78	$219.89