Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $164.01 / $164.01 / $246.02	Facility	26	$164.01	$164.01	$246.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.12 / $372.49 / $477.82	Professional		$291.12	$372.49	$477.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $101.97 / $163.02 / $182.28	Professional	26	$101.97	$163.02	$182.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $185.65 / $208.48 / $295.52	Professional	TC	$185.65	$208.48	$295.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $372.45 / $492.95 / $547.72	Professional		$372.45	$492.95	$547.72
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $155.84 / $206.26 / $229.18	Professional	26	$155.84	$206.26	$229.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $216.61 / $286.69 / $318.54	Professional	TC	$216.61	$286.69	$318.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.00 / $512.61 / $743.14	Professional		$407.00	$512.61	$743.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $161.12 / $228.46 / $315.51	Professional	26	$161.12	$228.46	$315.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $225.45 / $293.13 / $459.12	Professional	TC	$225.45	$293.13	$459.12
United Facility/Professional Professional Modifier Low / Median / High Price $329.72 / $426.79 / $751.61	Professional		$329.72	$426.79	$751.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $136.58 / $175.90 / $282.58	Professional	26	$136.58	$175.90	$282.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $185.52 / $260.57 / $469.03	Professional	TC	$185.52	$260.57	$469.03