Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $148.78 / $179.12 / $337.95	Facility	26	$148.78	$179.12	$337.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.18 / $280.45 / $511.84	Professional		$255.18	$280.45	$511.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $131.81 / $151.16 / $290.68	Professional	26	$131.81	$151.16	$290.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.89 / $133.93 / $238.86	Professional	TC	$119.89	$133.93	$238.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $264.91 / $380.05 / $560.58	Professional		$264.91	$380.05	$560.58
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $140.97 / $190.45 / $298.10	Professional	26	$140.97	$190.45	$298.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $123.19 / $178.76 / $261.55	Professional	TC	$123.19	$178.76	$261.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $205.65 / $205.65 / $205.75	Facility	26	$205.65	$205.65	$205.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.83 / $398.48 / $653.71	Professional		$292.83	$398.48	$653.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $159.31 / $211.00 / $344.53	Professional	26	$159.31	$211.00	$344.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $133.54 / $185.96 / $305.41	Professional	TC	$133.54	$185.96	$305.41
United Facility/Professional Professional Modifier Low / Median / High Price $275.72 / $369.91 / $581.80	Professional		$275.72	$369.91	$581.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $148.12 / $196.48 / $315.60	Professional	26	$148.12	$196.48	$315.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $128.57 / $173.22 / $302.02	Professional	TC	$128.57	$173.22	$302.02