Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $257.04 / $257.04 / $257.04	Facility	26	$257.04	$257.04	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $380.19 / $1,148.15	Professional		$245.47	$380.19	$1,148.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $128.82 / $389.05	Professional	26	$79.43	$128.82	$389.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $194.98 / $501.19	Professional	TC	$158.49	$194.98	$501.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $275.42 / $524.81	Professional		$208.93	$275.42	$524.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $95.50 / $158.49	Professional	26	$67.61	$95.50	$158.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $177.83 / $251.19	Professional	TC	$125.89	$177.83	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $389.05 / $524.81	Professional		$218.78	$389.05	$524.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $131.83 / $177.83	Professional	26	$85.11	$131.83	$177.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $251.19 / $331.13	Professional	TC	$186.21	$251.19	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $316.23 / $524.81	Professional		$223.87	$316.23	$524.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $114.82 / $181.97	Professional	26	$85.11	$114.82	$181.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $199.53 / $346.74	Professional	TC	$151.36	$199.53	$346.74