Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $331.13 / $331.13 / $331.13	Facility	26	$331.13	$331.13	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $354.81 / $616.60	Professional		$199.53	$354.81	$616.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $112.20 / $229.09	Professional	26	$54.95	$112.20	$229.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $269.15 / $489.78	Professional	TC	$141.25	$269.15	$489.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $269.15 / $489.78	Professional		$199.53	$269.15	$489.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $67.61 / $134.90	Professional	26	$53.70	$67.61	$134.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $165.96 / $223.87	Professional	TC	$131.83	$165.96	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $380.19 / $660.69	Professional		$208.93	$380.19	$660.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $104.71 / $144.54	Professional	26	$50.12	$104.71	$144.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $275.42 / $524.81	Professional	TC	$154.88	$275.42	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $295.12 / $426.58	Professional		$218.78	$295.12	$426.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $67.61 / $104.71	Professional	26	$57.54	$67.61	$104.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $213.80 / $316.23	Professional	TC	$154.88	$213.80	$316.23