Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.27 / $57.27 / $58.34	Facility	26	$57.27	$57.27	$58.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.73 / $245.99 / $443.70	Professional		$176.73	$245.99	$443.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.47 / $67.76 / $306.74	Professional	26	$56.47	$67.76	$306.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $120.26 / $174.51 / $375.94	Professional	TC	$120.26	$174.51	$375.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $491.00 / $807.00 / $807.00	Professional		$491.00	$807.00	$807.00
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 $337.00 / $554.00 / $554.00	Professional	TC	$337.00	$554.00	$554.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.51 / $401.27 / $722.54	Professional		$267.51	$401.27	$722.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.13 / $116.66 / $192.00	Professional	26	$77.13	$116.66	$192.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $183.24 / $297.99 / $496.24	Professional	TC	$183.24	$297.99	$496.24
United Facility/Professional Professional Modifier Low / Median / High Price $320.87 / $399.10 / $1,127.51	Professional		$320.87	$399.10	$1,127.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.07 / $114.08 / $218.91	Professional	26	$60.07	$114.08	$218.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $220.07 / $273.73 / $908.60	Professional	TC	$220.07	$273.73	$908.60