Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $242.88 / $242.88 / $242.88	Facility	26	$242.88	$242.88	$242.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.97 / $216.39 / $300.00	Professional		$183.97	$216.39	$300.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.47 / $28.67 / $91.61	Professional	26	$21.47	$28.67	$91.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.49 / $179.29 / $196.94	Professional	TC	$162.49	$179.29	$196.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.58 / $246.56 / $431.51	Professional		$209.58	$246.56	$431.51
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.24 / $42.38 / $46.06	Professional	26	$32.24	$42.38	$46.06
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $140.35 / $200.50 / $200.50	Professional	TC	$140.35	$200.50	$200.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.25 / $239.63 / $456.46	Professional		$189.25	$239.63	$456.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.85 / $41.22 / $81.28	Professional	26	$25.85	$41.22	$81.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $161.44 / $189.12 / $353.05	Professional	TC	$161.44	$189.12	$353.05
United Facility/Professional Professional Modifier Low / Median / High Price $185.04 / $263.05 / $379.60	Professional		$185.04	$263.05	$379.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.52 / $44.35 / $67.92	Professional	26	$24.52	$44.35	$67.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $161.13 / $218.42 / $307.01	Professional	TC	$161.13	$218.42	$307.01