Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.06 / $115.50 / $174.52	Facility	26	$107.06	$115.50	$174.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.50 / $198.43 / $414.88	Professional		$165.50	$198.43	$414.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $96.18 / $110.56 / $217.52	Professional	26	$96.18	$110.56	$217.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $68.17 / $79.70 / $121.60	Professional	TC	$68.17	$79.70	$121.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.55 / $188.84 / $307.64	Professional		$152.55	$188.84	$307.64
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $84.08 / $109.20 / $181.44	Professional	26	$84.08	$109.20	$181.44
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $65.80 / $81.21 / $128.75	Professional	TC	$65.80	$81.21	$128.75
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.19 / $118.19 / $118.19	Facility	26	$118.19	$118.19	$118.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.44 / $250.09 / $431.62	Professional		$162.44	$250.09	$431.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $106.80 / $148.97 / $253.14	Professional	26	$106.80	$148.97	$253.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $73.81 / $112.22 / $189.40	Professional	TC	$73.81	$112.22	$189.40
United Facility/Professional Professional Modifier Low / Median / High Price $176.05 / $235.75 / $409.61	Professional		$176.05	$235.75	$409.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $100.04 / $139.52 / $227.96	Professional	26	$100.04	$139.52	$227.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.06 / $103.83 / $176.02	Professional	TC	$74.06	$103.83	$176.02