Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $384.50 / $384.50 / $534.96	Facility	26	$384.50	$384.50	$534.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.47 / $330.93 / $422.68	Professional		$161.47	$330.93	$422.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.93 / $64.70 / $75.23	Professional	26	$46.93	$64.70	$75.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $114.55 / $239.94 / $347.45	Professional	TC	$114.55	$239.94	$347.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.65 / $271.35 / $663.51	Professional		$230.65	$271.35	$663.51
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.77 / $85.38 / $132.97	Professional	26	$59.77	$85.38	$132.97
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $130.19 / $185.98 / $185.98	Professional	TC	$130.19	$185.98	$185.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.00 / $389.88 / $476.34	Professional		$188.00	$389.88	$476.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.20 / $121.06 / $128.66	Professional	26	$55.20	$121.06	$128.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $130.77 / $268.82 / $335.31	Professional	TC	$130.77	$268.82	$335.31
United Facility/Professional Professional Modifier Low / Median / High Price $206.79 / $300.93 / $436.92	Professional		$206.79	$300.93	$436.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.28 / $81.42 / $116.40	Professional	26	$63.28	$81.42	$116.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $120.55 / $208.52 / $314.14	Professional	TC	$120.55	$208.52	$314.14