Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $190.74 / $202.93 / $305.58	Facility	26	$190.74	$202.93	$305.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.75 / $316.85 / $643.95	Professional		$266.75	$316.85	$643.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $168.11 / $190.21 / $318.61	Professional	26	$168.11	$190.21	$318.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $94.51 / $116.85 / $174.46	Professional	TC	$94.51	$116.85	$174.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.48 / $302.83 / $503.48	Professional		$236.48	$302.83	$503.48
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $149.46 / $192.03 / $321.20	Professional	26	$149.46	$192.03	$321.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $88.65 / $114.82 / $186.55	Professional	TC	$88.65	$114.82	$186.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $208.62 / $208.62 / $208.62	Facility	26	$208.62	$208.62	$208.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.08 / $404.13 / $693.28	Professional		$264.08	$404.13	$693.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $187.99 / $264.45 / $467.05	Professional	26	$187.99	$264.45	$467.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $104.78 / $154.65 / $268.69	Professional	TC	$104.78	$154.65	$268.69
United Facility/Professional Professional Modifier Low / Median / High Price $279.33 / $378.58 / $644.87	Professional		$279.33	$378.58	$644.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $175.25 / $240.68 / $397.11	Professional	26	$175.25	$240.68	$397.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $104.10 / $144.11 / $242.32	Professional	TC	$104.10	$144.11	$242.32