Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.60 / $57.60 / $58.68	Facility	26	$57.60	$57.60	$58.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.86 / $231.06 / $356.62	Professional		$165.86	$231.06	$356.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.86 / $61.91 / $140.36	Professional	26	$54.86	$61.91	$140.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $109.08 / $157.93 / $295.58	Professional	TC	$109.08	$157.93	$295.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $461.00 / $758.00 / $758.00	Professional		$461.00	$758.00	$758.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $154.00 / $253.00 / $253.00	Professional	26	$154.00	$253.00	$253.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $307.00 / $505.00 / $505.00	Professional	TC	$307.00	$505.00	$505.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.32 / $374.25 / $640.00	Professional		$250.32	$374.25	$640.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.97 / $104.34 / $192.00	Professional	26	$68.97	$104.34	$192.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $165.57 / $248.36 / $452.03	Professional	TC	$165.57	$248.36	$452.03
United Facility/Professional Professional Modifier Low / Median / High Price $219.01 / $374.73 / $920.71	Professional		$219.01	$374.73	$920.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.66 / $114.08 / $195.82	Professional	26	$52.66	$114.08	$195.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $200.48 / $249.36 / $801.87	Professional	TC	$200.48	$249.36	$801.87