Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.72 / $158.49 / $436.52	Facility	26	$97.72	$158.49	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $199.53 / $741.31	Professional		$117.49	$199.53	$741.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $151.36 / $380.19	Professional	26	$91.20	$151.36	$380.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $44.67 / $169.82	Professional	TC	$22.91	$44.67	$169.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $251.19 / $691.83	Professional		$125.89	$251.19	$691.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $138.04 / $257.04	Professional	26	$97.72	$138.04	$257.04
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $74.13 / $489.78	Professional	TC	$28.84	$74.13	$489.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.30 / $147.91 / $436.52	Facility	26	$26.30	$147.91	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $263.03 / $630.96	Professional		$134.90	$263.03	$630.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $162.18 / $316.23	Professional	26	$97.72	$162.18	$316.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $74.13 / $407.38	Professional	TC	$31.62	$74.13	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $204.17 / $501.19	Professional		$123.03	$204.17	$501.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $128.82 / $234.42	Professional	26	$89.13	$128.82	$234.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $48.98 / $323.59	Professional	TC	$24.55	$48.98	$323.59