Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $153.18 / $153.18 / $153.18	Facility	26	$153.18	$153.18	$153.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.82 / $180.90 / $221.83	Professional		$132.82	$180.90	$221.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.76 / $22.97 / $34.03	Professional	26	$18.76	$22.97	$34.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $109.85 / $162.13 / $196.51	Professional	TC	$109.85	$162.13	$196.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.71 / $153.78 / $231.30	Professional		$130.71	$153.78	$231.30
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.82 / $28.33 / $37.76	Professional	26	$19.82	$28.33	$37.76
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $87.82 / $125.46 / $125.46	Professional	TC	$87.82	$125.46	$125.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.67 / $162.69 / $291.43	Professional		$122.67	$162.69	$291.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.58 / $27.58 / $51.25	Professional	26	$22.58	$27.58	$51.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $95.91 / $125.46 / $217.80	Professional	TC	$95.91	$125.46	$217.80
United Facility/Professional Professional Modifier Low / Median / High Price $122.30 / $172.14 / $236.15	Professional		$122.30	$172.14	$236.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.16 / $25.98 / $43.29	Professional	26	$21.16	$25.98	$43.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $100.27 / $140.57 / $192.86	Professional	TC	$100.27	$140.57	$192.86