Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $275.42 / $275.42 / $275.42	Facility	26	$275.42	$275.42	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $177.83 / $602.56	Professional		$128.82	$177.83	$602.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $107.15 / $223.87	Professional	26	$54.95	$107.15	$223.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $112.20 / $331.13	Professional	TC	$64.57	$112.20	$331.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $181.97 / $263.03	Professional		$138.04	$181.97	$263.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $87.10 / $112.20	Professional	26	$69.18	$87.10	$112.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $83.18 / $120.23	Professional	TC	$58.88	$83.18	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $257.04 / $426.58	Professional		$112.20	$257.04	$426.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $85.11 / $154.88	Professional	26	$50.12	$85.11	$154.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $134.90 / $338.84	Professional	TC	$56.23	$134.90	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $190.55 / $316.23	Professional		$144.54	$190.55	$316.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $83.18 / $134.90	Professional	26	$50.12	$83.18	$134.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $100.00 / $223.87	Professional	TC	$67.61	$100.00	$223.87