Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $149.04 / $149.04 / $149.04	Facility	26	$149.04	$149.04	$149.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.83 / $124.21 / $151.43	Professional		$121.83	$124.21	$151.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.50 / $22.97 / $27.41	Professional	26	$20.50	$22.97	$27.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.69 / $102.27 / $124.02	Professional	TC	$97.69	$102.27	$124.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.07 / $238.94 / $332.59	Facility		$205.07	$238.94	$332.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.93 / $145.80 / $292.23	Professional		$123.93	$145.80	$292.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.82 / $28.33 / $39.74	Professional	26	$19.82	$28.33	$39.74
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $82.24 / $117.48 / $117.48	Professional	TC	$82.24	$117.48	$117.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.44 / $326.44 / $573.86	Facility		$326.44	$326.44	$573.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.99 / $154.10 / $275.24	Professional		$121.99	$154.10	$275.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.92 / $27.70 / $49.87	Professional	26	$22.92	$27.70	$49.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $97.08 / $117.47 / $199.21	Professional	TC	$97.08	$117.47	$199.21
United Facility/Professional Professional Modifier Low / Median / High Price $115.00 / $154.78 / $222.74	Professional		$115.00	$154.78	$222.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.03 / $27.22 / $45.36	Professional	26	$22.03	$27.22	$45.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $95.20 / $129.50 / $183.41	Professional	TC	$95.20	$129.50	$183.41