Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.45 / $62.45 / $63.63	Facility	26	$62.45	$62.45	$63.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.35 / $245.77 / $355.10	Professional		$176.35	$245.77	$355.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.52 / $87.49 / $281.14	Professional	26	$61.52	$87.49	$281.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $166.43 / $289.08	Professional	TC	$114.82	$166.43	$289.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $490.00 / $805.00 / $805.00	Professional		$490.00	$805.00	$805.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $167.00 / $275.00 / $275.00	Professional	26	$167.00	$275.00	$275.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $323.00 / $530.00 / $530.00	Professional	TC	$323.00	$530.00	$530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.52 / $397.02 / $718.75	Professional		$268.52	$397.02	$718.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.18 / $113.70 / $198.76	Professional	26	$75.18	$113.70	$198.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $193.77 / $261.58 / $472.24	Professional	TC	$193.77	$261.58	$472.24
United Facility/Professional Professional Modifier Low / Median / High Price $264.25 / $397.02 / $911.91	Professional		$264.25	$397.02	$911.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.34 / $124.23 / $212.32	Professional	26	$58.34	$124.23	$212.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $205.91 / $260.49 / $699.59	Professional	TC	$205.91	$260.49	$699.59