Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $124.37 / $124.37 / $124.37	Facility	26	$124.37	$124.37	$124.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.24 / $322.24 / $430.91	Professional		$234.24	$322.24	$430.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.56 / $100.66 / $124.37	Professional	26	$90.56	$100.66	$124.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $140.58 / $221.58 / $306.55	Professional	TC	$140.58	$221.58	$306.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.48 / $291.14 / $626.87	Professional		$247.48	$291.14	$626.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $98.83 / $119.80	Professional	26	$69.18	$98.83	$119.80
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $134.63 / $192.33 / $192.33	Professional	TC	$134.63	$192.33	$192.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.27 / $389.52 / $668.12	Professional		$272.27	$389.52	$668.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $103.90 / $125.09 / $224.23	Professional	26	$103.90	$125.09	$224.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $168.38 / $264.43 / $443.90	Professional	TC	$168.38	$264.43	$443.90
United Facility/Professional Professional Modifier Low / Median / High Price $191.01 / $312.86 / $480.46	Professional		$191.01	$312.86	$480.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $101.80 / $125.72 / $174.91	Professional	26	$101.80	$125.72	$174.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $78.70 / $187.14 / $316.61	Professional	TC	$78.70	$187.14	$316.61