Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $149.16 / $149.16 / $149.16	Facility	26	$149.16	$149.16	$149.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.76 / $134.32 / $222.42	Professional		$116.76	$134.32	$222.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.49 / $19.39 / $49.35	Professional	26	$14.49	$19.39	$49.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $102.27 / $110.97 / $124.02	Professional	TC	$102.27	$110.97	$124.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.06 / $153.01 / $295.23	Professional		$130.06	$153.01	$295.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.59 / $27.98 / $28.67	Professional	26	$19.59	$27.98	$28.67
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $87.53 / $125.04 / $125.04	Professional	TC	$87.53	$125.04	$125.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.03 / $160.29 / $290.49	Professional		$125.03	$160.29	$290.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.27 / $25.63 / $49.91	Professional	26	$17.27	$25.63	$49.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $106.50 / $125.04 / $218.55	Professional	TC	$106.50	$125.04	$218.55
United Facility/Professional Professional Modifier Low / Median / High Price $122.45 / $170.69 / $234.93	Professional		$122.45	$170.69	$234.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.91 / $27.24 / $46.22	Professional	26	$17.91	$27.24	$46.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $102.90 / $142.10 / $194.70	Professional	TC	$102.90	$142.10	$194.70