Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $150.88 / $150.88 / $150.88	Facility	26	$150.88	$150.88	$150.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.01 / $135.68 / $188.69	Professional		$107.01	$135.68	$188.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.78 / $16.05 / $27.91	Professional	26	$11.78	$16.05	$27.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.33 / $119.40 / $160.76	Professional	TC	$97.33	$119.40	$160.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.39 / $218.49 / $242.77	Facility		$199.39	$218.49	$242.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.87 / $165.73 / $207.66	Professional		$140.87	$165.73	$207.66
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.43 / $27.75 / $27.75	Professional	26	$19.43	$27.75	$27.75
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 Facility Modifier Low / Median / High Price $326.44 / $326.44 / $614.88	Facility		$326.44	$326.44	$614.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.00 / $240.81 / $414.49	Professional		$158.00	$240.81	$414.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.69 / $32.36 / $62.76	Professional	26	$14.69	$32.36	$62.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $137.97 / $186.28 / $296.56	Professional	TC	$137.97	$186.28	$296.56
United Facility/Professional Professional Modifier Low / Median / High Price $140.68 / $198.61 / $264.82	Professional		$140.68	$198.61	$264.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.80 / $27.85 / $45.92	Professional	26	$15.80	$27.85	$45.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $118.38 / $169.98 / $235.01	Professional	TC	$118.38	$169.98	$235.01