Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $301.19 / $301.19 / $301.19	Facility	26	$301.19	$301.19	$301.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.48 / $199.86 / $654.00	Professional		$97.48	$199.86	$654.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.65 / $47.50 / $247.50	Professional	26	$37.65	$47.50	$247.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.83 / $82.44 / $131.31	Professional	TC	$59.83	$82.44	$131.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.83 / $145.68 / $253.63	Professional		$123.83	$145.68	$253.63
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.57 / $57.95 / $92.60	Professional	26	$40.57	$57.95	$92.60
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $61.41 / $87.73 / $87.73	Professional	TC	$61.41	$87.73	$87.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.94 / $177.77 / $249.33	Professional		$112.94	$177.77	$249.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.41 / $68.67 / $100.78	Professional	26	$45.41	$68.67	$100.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $68.34 / $108.43 / $148.55	Professional	TC	$68.34	$108.43	$148.55
United Facility/Professional Professional Modifier Low / Median / High Price $110.15 / $155.51 / $222.04	Professional		$110.15	$155.51	$222.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.64 / $62.86 / $91.21	Professional	26	$43.64	$62.86	$91.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $70.73 / $92.65 / $135.11	Professional	TC	$70.73	$92.65	$135.11