Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $147.37 / $147.37 / $147.37	Facility	26	$147.37	$147.37	$147.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.13 / $221.90 / $239.59	Professional		$211.13	$221.90	$239.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.60 / $21.93 / $23.12	Professional	26	$20.60	$21.93	$23.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $189.20 / $201.28 / $216.46	Professional	TC	$189.20	$201.28	$216.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.80 / $257.80 / $438.58	Professional		$257.80	$257.80	$438.58
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.19 / $27.41 / $44.85	Professional	26	$19.19	$27.41	$44.85
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $161.27 / $230.39 / $230.39	Professional	TC	$161.27	$230.39	$230.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.54 / $491.66 / $500.54	Professional		$268.54	$491.66	$500.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.55 / $47.16 / $49.31	Professional	26	$28.55	$47.16	$49.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $239.99 / $444.21 / $453.38	Professional	TC	$239.99	$444.21	$453.38
United Facility/Professional Professional Modifier Low / Median / High Price $181.38 / $278.05 / $414.58	Professional		$181.38	$278.05	$414.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.94 / $23.13 / $41.01	Professional	26	$17.94	$23.13	$41.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $163.44 / $222.67 / $373.57	Professional	TC	$163.44	$222.67	$373.57