Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $405.84 / $405.84 / $405.84	Facility	26	$405.84	$405.84	$405.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $494.18 / $600.00	Professional		$250.00	$494.18	$600.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.58 / $140.00 / $180.00	Professional	26	$67.58	$140.00	$180.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.50 / $348.53 / $420.00	Professional	TC	$187.50	$348.53	$420.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $283.20 / $333.18 / $819.24	Professional		$283.20	$333.18	$819.24
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.48 / $90.68 / $126.43	Professional	26	$63.48	$90.68	$126.43
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $169.75 / $242.50 / $275.49	Professional	TC	$169.75	$242.50	$275.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.73 / $514.96 / $684.25	Professional		$269.73	$514.96	$684.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.26 / $128.59 / $135.80	Professional	26	$58.26	$128.59	$135.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $209.06 / $361.60 / $523.66	Professional	TC	$209.06	$361.60	$523.66
United Facility/Professional Professional Modifier Low / Median / High Price $276.14 / $430.41 / $544.34	Professional		$276.14	$430.41	$544.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.11 / $78.31 / $135.28	Professional	26	$60.11	$78.31	$135.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.13 / $261.25 / $495.02	Professional	TC	$144.13	$261.25	$495.02