Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $134.90 / $134.90 / $134.90	Facility	26	$134.90	$134.90	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $186.21 / $446.68	Professional		$131.83	$186.21	$446.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $57.54 / $190.55	Professional	26	$40.74	$57.54	$190.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $117.49 / $302.00	Professional	TC	$89.13	$117.49	$302.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $162.18 / $245.47	Professional		$123.03	$162.18	$245.47
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $51.29 / $83.18	Professional	26	$35.48	$51.29	$83.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $112.20 / $154.88	Professional	TC	$77.62	$112.20	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $245.47 / $309.03	Professional		$134.90	$245.47	$309.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $74.13 / $93.33	Professional	26	$45.71	$74.13	$93.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $173.78 / $208.93	Professional	TC	$93.33	$173.78	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $204.17 / $316.23	Professional		$141.25	$204.17	$316.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $60.26 / $97.72	Professional	26	$44.67	$60.26	$97.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $134.90 / $218.78	Professional	TC	$95.50	$134.90	$218.78