Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $160.46 / $160.46 / $160.46	Facility	26	$160.46	$160.46	$160.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.03 / $232.77 / $335.85	Professional		$203.03	$232.77	$335.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $122.18 / $132.43 / $327.14	Professional	26	$122.18	$132.43	$327.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $85.04 / $91.70 / $118.13	Professional	TC	$85.04	$91.70	$118.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.43 / $207.57 / $317.29	Professional		$176.43	$207.57	$317.29
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $89.59 / $127.98 / $186.51	Professional	26	$89.59	$127.98	$186.51
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $55.71 / $79.59 / $79.59	Professional	TC	$55.71	$79.59	$79.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.06 / $220.23 / $467.97	Professional		$81.06	$220.23	$467.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $134.68 / $162.31 / $290.36	Professional	26	$134.68	$162.31	$290.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $87.02 / $112.12 / $195.17	Professional	TC	$87.02	$112.12	$195.17
United Facility/Professional Professional Modifier Low / Median / High Price $210.35 / $262.87 / $389.17	Professional		$210.35	$262.87	$389.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $134.69 / $170.15 / $226.87	Professional	26	$134.69	$170.15	$226.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $96.37 / $121.40 / $162.30	Professional	TC	$96.37	$121.40	$162.30