Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $241.21 / $241.21 / $241.21	Facility	26	$241.21	$241.21	$241.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.09 / $219.03 / $945.01	Professional		$168.09	$219.03	$945.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.03 / $56.90 / $89.98	Professional	26	$38.03	$56.90	$89.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $130.06 / $162.13 / $196.51	Professional	TC	$130.06	$162.13	$196.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.63 / $184.28 / $396.24	Professional		$156.63	$184.28	$396.24
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.40 / $46.29 / $112.27	Professional	26	$32.40	$46.29	$112.27
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $96.59 / $137.99 / $137.99	Professional	TC	$96.59	$137.99	$137.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.71 / $208.42 / $371.66	Professional		$166.71	$208.42	$371.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.02 / $64.93 / $85.26	Professional	26	$39.02	$64.93	$85.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $119.07 / $144.53 / $259.45	Professional	TC	$119.07	$144.53	$259.45
United Facility/Professional Professional Modifier Low / Median / High Price $157.31 / $232.97 / $300.97	Professional		$157.31	$232.97	$300.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.44 / $61.56 / $75.06	Professional	26	$37.44	$61.56	$75.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $121.03 / $169.70 / $229.20	Professional	TC	$121.03	$169.70	$229.20