Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $275.42 / $275.42 / $275.42	Facility	26	$275.42	$275.42	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $275.42 / $616.60	Professional		$141.25	$275.42	$616.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $54.95 / $194.98	Professional	26	$38.02	$54.95	$194.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $169.82 / $426.58	Professional	TC	$95.50	$169.82	$426.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $190.55 / $346.74	Professional		$141.25	$190.55	$346.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $51.29 / $104.71	Professional	26	$40.74	$51.29	$104.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $112.20 / $154.88	Professional	TC	$91.20	$112.20	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $269.15 / $467.74	Professional		$125.89	$269.15	$467.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $79.43 / $112.20	Professional	26	$35.48	$79.43	$112.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $190.55 / $354.81	Professional	TC	$89.13	$190.55	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $208.93 / $302.00	Professional		$141.25	$208.93	$302.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $51.29 / $83.18	Professional	26	$41.69	$51.29	$83.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $144.54 / $218.78	Professional	TC	$95.50	$144.54	$218.78