Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $256.45 / $256.45 / $256.45	Facility	26	$256.45	$256.45	$256.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.69 / $197.08 / $629.00	Professional		$90.69	$197.08	$629.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.32 / $40.90 / $297.08	Professional	26	$32.32	$40.90	$297.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.82 / $62.60 / $128.80	Professional	TC	$56.82	$62.60	$128.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.46 / $135.83 / $236.51	Professional		$115.46	$135.83	$236.51
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.85 / $49.78 / $80.84	Professional	26	$34.85	$49.78	$80.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $60.23 / $86.04 / $86.04	Professional	TC	$60.23	$86.04	$86.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $157.11 / $230.72	Professional		$104.71	$157.11	$230.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.94 / $59.42 / $85.81	Professional	26	$38.94	$59.42	$85.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.04 / $104.40 / $144.91	Professional	TC	$60.04	$104.40	$144.91
United Facility/Professional Professional Modifier Low / Median / High Price $81.13 / $143.88 / $207.47	Professional		$81.13	$143.88	$207.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.96 / $51.98 / $77.64	Professional	26	$36.96	$51.98	$77.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $46.26 / $90.37 / $131.09	Professional	TC	$46.26	$90.37	$131.09