Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $356.62 / $356.62 / $356.62	Facility	26	$356.62	$356.62	$356.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.22 / $165.17 / $179.85	Professional		$162.22	$165.17	$179.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.54 / $52.21 / $57.72	Professional	26	$51.54	$52.21	$57.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $110.68 / $112.96 / $122.13	Professional	TC	$110.68	$112.96	$122.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.88 / $211.21 / $321.29	Professional		$208.88	$211.21	$321.29
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.14 / $65.92 / $107.07	Professional	26	$46.14	$65.92	$107.07
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $101.71 / $145.30 / $145.30	Professional	TC	$101.71	$145.30	$145.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.02 / $353.50 / $382.06	Professional		$220.02	$353.50	$382.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.67 / $112.28 / $119.34	Professional	26	$68.67	$112.28	$119.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $151.35 / $241.23 / $269.25	Professional	TC	$151.35	$241.23	$269.25
United Facility/Professional Professional Modifier Low / Median / High Price $133.18 / $237.59 / $304.42	Professional		$133.18	$237.59	$304.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.41 / $55.26 / $99.24	Professional	26	$43.41	$55.26	$99.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $89.77 / $149.46 / $205.18	Professional	TC	$89.77	$149.46	$205.18