Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $173.72 / $173.72 / $173.72	Facility	26	$173.72	$173.72	$173.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.42 / $343.67 / $557.21	Professional		$266.42	$343.67	$557.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.92 / $102.65 / $173.72	Professional	26	$84.92	$102.65	$173.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $181.51 / $241.02 / $383.48	Professional	TC	$181.51	$241.02	$383.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $324.14 / $382.49	Professional		$236.62	$324.14	$382.49
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.18 / $101.61 / $119.90	Professional	26	$74.18	$101.61	$119.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $162.44 / $222.53 / $262.58	Professional	TC	$162.44	$222.53	$262.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.14 / $380.96 / $1,004.05	Professional		$312.14	$380.96	$1,004.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $96.78 / $126.51 / $333.05	Professional	26	$96.78	$126.51	$333.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $210.77 / $254.44 / $671.02	Professional	TC	$210.77	$254.44	$671.02
United Facility/Professional Professional Modifier Low / Median / High Price $256.22 / $343.21 / $428.06	Professional		$256.22	$343.21	$428.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.45 / $106.10 / $135.01	Professional	26	$77.45	$106.10	$135.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $169.12 / $218.14 / $293.39	Professional	TC	$169.12	$218.14	$293.39