Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $241.10 / $241.10 / $241.10	Facility	26	$241.10	$241.10	$241.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.79 / $234.47 / $1,194.00	Professional		$190.79	$234.47	$1,194.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.30 / $37.52 / $124.87	Professional	26	$28.30	$37.52	$124.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $159.02 / $171.43 / $196.94	Professional	TC	$159.02	$171.43	$196.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.71 / $234.95 / $357.53	Professional		$199.71	$234.95	$357.53
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.29 / $46.14 / $55.47	Professional	26	$32.29	$46.14	$55.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $132.16 / $188.81 / $188.81	Professional	TC	$132.16	$188.81	$188.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.44 / $240.36 / $449.22	Professional		$187.44	$240.36	$449.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.69 / $42.29 / $80.86	Professional	26	$33.69	$42.29	$80.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $147.93 / $186.38 / $341.15	Professional	TC	$147.93	$186.38	$341.15
United Facility/Professional Professional Modifier Low / Median / High Price $189.77 / $258.26 / $372.10	Professional		$189.77	$258.26	$372.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.97 / $44.03 / $72.51	Professional	26	$32.97	$44.03	$72.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $157.85 / $223.99 / $296.22	Professional	TC	$157.85	$223.99	$296.22