Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $273.47 / $273.47 / $273.47	Facility	26	$273.47	$273.47	$273.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.32 / $151.72 / $239.65	Professional		$132.32	$151.72	$239.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.05 / $49.24 / $65.89	Professional	26	$43.05	$49.24	$65.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $89.27 / $106.60 / $129.26	Professional	TC	$89.27	$106.60	$129.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.10 / $162.47 / $234.44	Professional		$138.10	$162.47	$234.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.63 / $50.90 / $79.81	Professional	26	$35.63	$50.90	$79.81
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $78.09 / $111.56 / $111.56	Professional	TC	$78.09	$111.56	$111.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.30 / $267.00 / $311.02	Professional		$137.30	$267.00	$311.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.31 / $79.03 / $93.08	Professional	26	$45.31	$79.03	$93.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $94.17 / $190.77 / $210.06	Professional	TC	$94.17	$190.77	$210.06
United Facility/Professional Professional Modifier Low / Median / High Price $143.96 / $205.14 / $274.27	Professional		$143.96	$205.14	$274.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.80 / $60.40 / $84.74	Professional	26	$44.80	$60.40	$84.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $94.85 / $137.33 / $208.27	Professional	TC	$94.85	$137.33	$208.27