Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.86 / $104.71 / $190.55	Facility	26	$75.86	$104.71	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $165.96 / $371.54	Professional		$131.83	$165.96	$371.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $83.18 / $199.53	Professional	26	$72.44	$83.18	$199.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $83.18 / $134.90	Professional	TC	$57.54	$83.18	$134.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $169.82 / $316.23	Professional		$114.82	$169.82	$316.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $95.50 / $181.97	Professional	26	$70.79	$95.50	$181.97
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $79.43 / $154.88	Professional	TC	$34.67	$79.43	$154.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.50 / $102.33 / $281.84	Facility	26	$19.50	$102.33	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $229.09 / $489.78	Professional		$131.83	$229.09	$489.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $120.23 / $245.47	Professional	26	$79.43	$120.23	$245.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $112.20 / $251.19	Professional	TC	$44.67	$112.20	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $181.97 / $363.08	Professional		$120.23	$181.97	$363.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $97.72 / $181.97	Professional	26	$69.18	$97.72	$181.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $91.20 / $186.21	Professional	TC	$41.69	$91.20	$186.21