Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $386.63 / $386.63 / $537.91	Facility	26	$386.63	$386.63	$537.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.15 / $259.58 / $282.02	Professional		$145.15	$259.58	$282.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.48 / $61.25 / $319.97	Professional	26	$47.48	$61.25	$319.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.67 / $190.14 / $214.02	Professional	TC	$97.67	$190.14	$214.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.62 / $234.31 / $555.77	Professional		$198.62	$234.31	$555.77
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.78 / $86.83 / $120.46	Professional	26	$60.78	$86.83	$120.46
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $103.24 / $147.47 / $148.34	Professional	TC	$103.24	$147.47	$148.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.78 / $335.92 / $419.37	Professional		$174.78	$335.92	$419.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.83 / $117.42 / $129.37	Professional	26	$55.83	$117.42	$129.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $127.14 / $212.80 / $301.07	Professional	TC	$127.14	$212.80	$301.07
United Facility/Professional Professional Modifier Low / Median / High Price $173.02 / $252.08 / $362.35	Professional		$173.02	$252.08	$362.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.26 / $80.69 / $129.62	Professional	26	$57.26	$80.69	$129.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $127.68 / $176.48 / $258.56	Professional	TC	$127.68	$176.48	$258.56