Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.08 / $104.08 / $106.48	Facility	26	$104.08	$104.08	$106.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.18 / $137.18 / $141.82	Professional		$137.18	$137.18	$141.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $106.28 / $106.28 / $106.28	Professional	26	$106.28	$106.28	$106.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.36 / $37.68 / $37.74	Professional	TC	$29.36	$37.68	$37.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $287.00 / $514.00 / $514.00	Professional		$287.00	$514.00	$514.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $220.00 / $394.00 / $394.00	Professional	26	$220.00	$394.00	$394.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $67.00 / $120.00 / $120.00	Professional	TC	$67.00	$120.00	$120.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.88 / $210.65 / $476.96	Professional		$203.88	$210.65	$476.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $141.86 / $168.05 / $386.19	Professional	26	$141.86	$168.05	$386.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.60 / $62.02 / $161.10	Professional	TC	$42.60	$62.02	$161.10
United Facility/Professional Professional Modifier Low / Median / High Price $216.99 / $263.98 / $785.19	Professional		$216.99	$263.98	$785.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $124.59 / $184.21 / $332.40	Professional	26	$124.59	$184.21	$332.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.19 / $55.86 / $342.08	Professional	TC	$43.19	$55.86	$342.08