Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $303.31 / $303.31 / $303.31	Facility	26	$303.31	$303.31	$303.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.07 / $167.97 / $676.00	Professional		$136.07	$167.97	$676.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.43 / $47.39 / $55.75	Professional	26	$36.43	$47.39	$55.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $99.64 / $120.25 / $136.50	Professional	TC	$99.64	$120.25	$136.50
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $91.63 / $97.63 / $108.48	Facility	26	$91.63	$97.63	$108.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.74 / $230.29 / $343.52	Professional		$191.74	$230.29	$343.52
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.05 / $67.20 / $97.59	Professional	26	$47.05	$67.20	$97.59
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $114.15 / $163.07 / $245.94	Professional	TC	$114.15	$163.07	$245.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.94 / $240.36 / $349.76	Professional		$142.94	$240.36	$349.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.27 / $70.31 / $101.49	Professional	26	$41.27	$70.31	$101.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $103.32 / $170.04 / $252.02	Professional	TC	$103.32	$170.04	$252.02
United Facility/Professional Professional Modifier Low / Median / High Price $170.21 / $204.65 / $355.38	Professional		$170.21	$204.65	$355.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.25 / $63.30 / $100.24	Professional	26	$51.25	$63.30	$100.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $126.42 / $151.69 / $250.25	Professional	TC	$126.42	$151.69	$250.25