Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.00 / $306.00 / $418.43	Professional		$288.00	$306.00	$418.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.65 / $87.73 / $117.51	Professional	26	$84.65	$87.73	$117.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $200.28 / $221.90 / $300.91	Professional	TC	$200.28	$221.90	$300.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $347.18 / $347.18 / $514.80	Professional		$347.18	$347.18	$514.80
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $71.98 / $102.83 / $167.95	Professional	26	$71.98	$102.83	$167.95
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $171.05 / $244.35 / $244.35	Professional	TC	$171.05	$244.35	$244.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.30 / $528.90 / $595.88	Professional		$268.30	$528.90	$595.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.27 / $137.32 / $195.61	Professional	26	$70.27	$137.32	$195.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $198.03 / $403.41 / $446.84	Professional	TC	$198.03	$403.41	$446.84
United Facility/Professional Professional Modifier Low / Median / High Price $263.25 / $413.04 / $541.99	Professional		$263.25	$413.04	$541.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.70 / $120.27 / $185.02	Professional	26	$87.70	$120.27	$185.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $209.32 / $297.63 / $456.42	Professional	TC	$209.32	$297.63	$456.42