Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $448.27 / $448.27 / $623.67	Facility	26	$448.27	$448.27	$623.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.68 / $163.04 / $178.41	Professional		$96.68	$163.04	$178.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.39 / $60.72 / $281.00	Professional	26	$42.39	$60.72	$281.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.30 / $110.49 / $117.69	Professional	TC	$54.30	$110.49	$117.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.69 / $182.42 / $253.34	Professional		$156.69	$182.42	$253.34
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.08 / $98.69 / $106.39	Professional	26	$69.08	$98.69	$106.39
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $58.60 / $83.72 / $91.67	Professional	TC	$58.60	$83.72	$91.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.55 / $222.53 / $405.03	Professional		$119.55	$222.53	$405.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.46 / $101.97 / $149.99	Professional	26	$56.46	$101.97	$149.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $62.03 / $133.69 / $340.11	Professional	TC	$62.03	$133.69	$340.11
United Facility/Professional Professional Modifier Low / Median / High Price $144.51 / $191.65 / $329.32	Professional		$144.51	$191.65	$329.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.23 / $86.51 / $124.74	Professional	26	$52.23	$86.51	$124.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.34 / $102.29 / $224.15	Professional	TC	$74.34	$102.29	$224.15