Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.86 / $89.13 / $97.72	Facility	26	$75.86	$89.13	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $263.03 / $489.78	Professional		$169.82	$263.03	$489.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $61.66 / $93.33	Professional	26	$51.29	$61.66	$93.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $186.21 / $436.52	Professional	TC	$120.23	$186.21	$436.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $251.19 / $323.59	Professional		$218.78	$251.19	$323.59
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $74.13 / $95.50	Professional	26	$64.57	$74.13	$95.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $177.83 / $229.09	Professional	TC	$154.88	$177.83	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $380.19 / $812.83	Professional		$218.78	$380.19	$812.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $85.11 / $128.82	Professional	26	$63.10	$85.11	$128.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $269.15 / $724.44	Professional	TC	$154.88	$269.15	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $371.54 / $616.60	Professional		$199.53	$371.54	$616.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $67.61 / $114.82	Professional	26	$56.23	$67.61	$114.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $257.04 / $537.03	Professional	TC	$144.54	$257.04	$537.03