Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $179.40 / $179.40 / $179.40	Facility	26	$179.40	$179.40	$179.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.10 / $106.50 / $186.81	Professional		$88.10	$106.50	$186.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.99 / $27.69 / $43.64	Professional	26	$22.99	$27.69	$43.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $65.11 / $77.88 / $78.81	Professional	TC	$65.11	$77.88	$78.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.58 / $132.44 / $208.86	Professional		$112.58	$132.44	$208.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.61 / $35.15 / $57.66	Professional	26	$24.61	$35.15	$57.66
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $68.12 / $97.31 / $151.16	Professional	TC	$68.12	$97.31	$151.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.67 / $154.16 / $220.24	Professional		$98.67	$154.16	$220.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.56 / $41.91 / $60.04	Professional	26	$27.56	$41.91	$60.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.42 / $112.26 / $160.19	Professional	TC	$74.42	$112.26	$160.19
United Facility/Professional Professional Modifier Low / Median / High Price $97.30 / $137.36 / $201.66	Professional		$97.30	$137.36	$201.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.89 / $37.44 / $63.89	Professional	26	$26.89	$37.44	$63.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.73 / $99.92 / $145.72	Professional	TC	$69.73	$99.92	$145.72