Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $226.49 / $226.49 / $226.49	Facility	26	$226.49	$226.49	$226.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.74 / $170.31 / $530.00	Professional		$88.74	$170.31	$530.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.46 / $35.96 / $189.00	Professional	26	$28.46	$35.96	$189.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.18 / $62.60 / $69.69	Professional	TC	$48.18	$62.60	$69.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.58 / $114.80 / $204.55	Professional		$97.58	$114.80	$204.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.72 / $43.88 / $71.02	Professional	26	$30.72	$43.88	$71.02
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $49.65 / $70.93 / $70.93	Professional	TC	$49.65	$70.93	$70.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.65 / $138.54 / $195.20	Professional		$92.65	$138.54	$195.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.38 / $52.38 / $75.78	Professional	26	$34.38	$52.38	$75.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $55.05 / $86.05 / $119.41	Professional	TC	$55.05	$86.05	$119.41
United Facility/Professional Professional Modifier Low / Median / High Price $84.59 / $121.74 / $175.70	Professional		$84.59	$121.74	$175.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.54 / $47.27 / $69.72	Professional	26	$32.54	$47.27	$69.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.18 / $71.31 / $108.61	Professional	TC	$50.18	$71.31	$108.61