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 $112.61 / $155.36 / $773.00	Professional		$112.61	$155.36	$773.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.65 / $47.50 / $183.38	Professional	26	$37.65	$47.50	$183.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $74.95 / $96.81 / $163.66	Professional	TC	$74.95	$96.81	$163.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.68 / $167.86 / $295.88	Professional		$142.68	$167.86	$295.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.85 / $58.36 / $93.27	Professional	26	$40.85	$58.36	$93.27
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $76.64 / $109.49 / $109.49	Professional	TC	$76.64	$109.49	$109.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.16 / $195.98 / $285.75	Professional		$135.16	$195.98	$285.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.73 / $69.17 / $100.78	Professional	26	$45.73	$69.17	$100.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $85.61 / $133.46 / $184.97	Professional	TC	$85.61	$133.46	$184.97
United Facility/Professional Professional Modifier Low / Median / High Price $116.07 / $157.96 / $255.74	Professional		$116.07	$157.96	$255.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.31 / $62.86 / $89.99	Professional	26	$43.31	$62.86	$89.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $81.72 / $115.36 / $167.35	Professional	TC	$81.72	$115.36	$167.35