Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $448.50 / $448.50 / $448.50	Facility	26	$448.50	$448.50	$448.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.77 / $475.00 / $600.00	Professional		$292.77	$475.00	$600.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.08 / $105.77 / $180.00	Professional	26	$74.08	$105.77	$180.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $218.70 / $357.37 / $420.00	Professional	TC	$218.70	$357.37	$420.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.55 / $386.53 / $724.39	Professional		$328.55	$386.53	$724.39
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.50 / $99.28 / $137.54	Professional	26	$69.50	$99.28	$137.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $201.08 / $287.25 / $333.34	Professional	TC	$201.08	$287.25	$333.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.72 / $561.10 / $702.60	Professional		$266.72	$561.10	$702.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.06 / $135.00 / $150.06	Professional	26	$64.06	$135.00	$150.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $198.94 / $420.31 / $530.98	Professional	TC	$198.94	$420.31	$530.98
United Facility/Professional Professional Modifier Low / Median / High Price $310.70 / $444.80 / $632.16	Professional		$310.70	$444.80	$632.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.42 / $85.04 / $148.08	Professional	26	$64.42	$85.04	$148.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $224.31 / $374.59 / $503.54	Professional	TC	$224.31	$374.59	$503.54