Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $192.49 / $192.49 / $192.49	Facility	26	$192.49	$192.49	$192.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.73 / $258.33 / $326.14	Professional		$226.73	$258.33	$326.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $136.62 / $158.71 / $219.71	Professional	26	$136.62	$158.71	$219.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $90.11 / $103.76 / $144.33	Professional	TC	$90.11	$103.76	$144.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.45 / $241.71 / $372.99	Professional		$205.45	$241.71	$372.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $107.18 / $153.11 / $223.88	Professional	26	$107.18	$153.11	$223.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $62.02 / $88.60 / $88.60	Professional	TC	$62.02	$88.60	$88.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.06 / $248.39 / $535.45	Professional		$81.06	$248.39	$535.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $160.50 / $194.10 / $347.36	Professional	26	$160.50	$194.10	$347.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $98.29 / $121.81 / $210.42	Professional	TC	$98.29	$121.81	$210.42
United Facility/Professional Professional Modifier Low / Median / High Price $264.39 / $320.05 / $445.28	Professional		$264.39	$320.05	$445.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $160.49 / $202.72 / $270.29	Professional	26	$160.49	$202.72	$270.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $94.58 / $121.72 / $174.99	Professional	TC	$94.58	$121.72	$174.99