Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $247.71 / $247.71 / $247.71	Facility	26	$247.71	$247.71	$247.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.14 / $132.35 / $532.79	Professional		$107.14	$132.35	$532.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.27 / $37.70 / $42.81	Professional	26	$29.27	$37.70	$42.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $77.87 / $93.99 / $110.90	Professional	TC	$77.87	$93.99	$110.90
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $74.62 / $79.51 / $88.34	Facility	26	$74.62	$79.51	$88.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.28 / $182.66 / $270.68	Professional		$152.28	$182.66	$270.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.27 / $54.67 / $78.45	Professional	26	$38.27	$54.67	$78.45
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $89.59 / $127.99 / $192.23	Professional	TC	$89.59	$127.99	$192.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.37 / $190.23 / $277.06	Professional		$113.37	$190.23	$277.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.60 / $56.86 / $82.88	Professional	26	$33.60	$56.86	$82.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $81.11 / $133.38 / $196.98	Professional	TC	$81.11	$133.38	$196.98
United Facility/Professional Professional Modifier Low / Median / High Price $99.57 / $161.69 / $290.26	Professional		$99.57	$161.69	$290.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.93 / $51.70 / $95.00	Professional	26	$40.93	$51.70	$95.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $99.16 / $118.99 / $196.51	Professional	TC	$99.16	$118.99	$196.51