Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.49 / $108.90 / $120.25	Facility	26	$104.49	$108.90	$120.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.48 / $322.24 / $436.94	Professional		$240.48	$322.24	$436.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.79 / $102.73 / $145.08	Professional	26	$90.79	$102.73	$145.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $146.69 / $201.66 / $318.50	Professional	TC	$146.69	$201.66	$318.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.23 / $320.58 / $533.42	Professional		$220.23	$320.58	$533.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $85.06 / $122.22 / $190.01	Professional	26	$85.06	$122.22	$190.01
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $134.74 / $209.90 / $351.59	Professional	TC	$134.74	$209.90	$351.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.59 / $114.59 / $114.59	Facility	26	$114.59	$114.59	$114.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.02 / $392.49 / $691.48	Professional		$232.02	$392.49	$691.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $101.27 / $142.16 / $241.04	Professional	26	$101.27	$142.16	$241.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $131.11 / $250.18 / $475.56	Professional	TC	$131.11	$250.18	$475.56
United Facility/Professional Professional Modifier Low / Median / High Price $224.44 / $330.90 / $605.01	Professional		$224.44	$330.90	$605.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $95.43 / $130.38 / $227.06	Professional	26	$95.43	$130.38	$227.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $133.93 / $206.94 / $389.30	Professional	TC	$133.93	$206.94	$389.30