Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $160.08 / $160.08 / $160.08	Facility	26	$160.08	$160.08	$160.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.27 / $118.70 / $154.88	Professional		$95.27	$118.70	$154.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.07 / $29.27 / $38.79	Professional	26	$24.07	$29.27	$38.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $65.98 / $79.91 / $130.81	Professional	TC	$65.98	$79.91	$130.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.60 / $181.88 / $389.64	Professional		$154.60	$181.88	$389.64
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.67 / $43.81 / $58.11	Professional	26	$30.67	$43.81	$58.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $96.64 / $138.06 / $138.06	Professional	TC	$96.64	$138.06	$138.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.50 / $208.93 / $366.35	Professional		$158.50	$208.93	$366.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.06 / $39.61 / $56.45	Professional	26	$26.06	$39.61	$56.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $123.21 / $151.18 / $281.92	Professional	TC	$123.21	$151.18	$281.92
United Facility/Professional Professional Modifier Low / Median / High Price $147.86 / $204.61 / $308.57	Professional		$147.86	$204.61	$308.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.25 / $35.94 / $48.72	Professional	26	$26.25	$35.94	$48.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $131.90 / $174.39 / $254.48	Professional	TC	$131.90	$174.39	$254.48