Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $388.82 / $388.82 / $540.96	Facility	26	$388.82	$388.82	$540.96
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 / $58.54 / $69.45	Professional	26	$47.48	$58.54	$69.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.67 / $173.55 / $214.02	Professional	TC	$97.67	$173.55	$214.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.73 / $221.24 / $444.45	Professional		$187.73	$221.24	$444.45
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.78 / $86.83 / $119.80	Professional	26	$60.78	$86.83	$119.80
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $94.09 / $134.41 / $134.41	Professional	TC	$94.09	$134.41	$134.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.99 / $316.68 / $380.17	Professional		$158.99	$316.68	$380.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.83 / $117.42 / $130.10	Professional	26	$55.83	$117.42	$130.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $100.43 / $194.25 / $253.93	Professional	TC	$100.43	$194.25	$253.93
United Facility/Professional Professional Modifier Low / Median / High Price $156.58 / $236.50 / $342.10	Professional		$156.58	$236.50	$342.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.83 / $81.15 / $171.66	Professional	26	$55.83	$81.15	$171.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $95.72 / $158.01 / $223.72	Professional	TC	$95.72	$158.01	$223.72