Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.47 / $128.47 / $128.47	Facility	26	$128.47	$128.47	$128.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.44 / $199.15 / $278.01	Professional		$174.44	$199.15	$278.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $98.41 / $110.56 / $217.52	Professional	26	$98.41	$110.56	$217.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $74.06 / $85.69 / $128.97	Professional	TC	$74.06	$85.69	$128.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.08 / $173.03 / $261.06	Professional		$147.08	$173.03	$261.06
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $71.76 / $102.51 / $149.09	Professional	26	$71.76	$102.51	$149.09
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $49.36 / $70.52 / $70.52	Professional	TC	$49.36	$70.52	$70.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.06 / $182.00 / $390.90	Professional		$81.06	$182.00	$390.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $108.50 / $130.06 / $233.35	Professional	26	$108.50	$130.06	$233.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $76.09 / $99.83 / $170.40	Professional	TC	$76.09	$99.83	$170.40
United Facility/Professional Professional Modifier Low / Median / High Price $182.85 / $224.47 / $325.07	Professional		$182.85	$224.47	$325.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $111.16 / $136.66 / $183.38	Professional	26	$111.16	$136.66	$183.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $84.13 / $101.84 / $141.69	Professional	TC	$84.13	$101.84	$141.69