Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $363.11 / $363.11 / $363.11	Facility	26	$363.11	$363.11	$363.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $495.45 / $600.00	Professional		$250.00	$495.45	$600.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.50 / $140.00 / $180.00	Professional	26	$62.50	$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 $270.44 / $318.17 / $924.10	Professional		$270.44	$318.17	$924.10
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.44 / $80.63 / $112.59	Professional	26	$56.44	$80.63	$112.59
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $166.28 / $237.54 / $265.50	Professional	TC	$166.28	$237.54	$265.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.29 / $457.73 / $707.58	Professional		$274.29	$457.73	$707.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.44 / $114.33 / $121.50	Professional	26	$52.44	$114.33	$121.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $204.78 / $343.40 / $561.54	Professional	TC	$204.78	$343.40	$561.54
United Facility/Professional Professional Modifier Low / Median / High Price $258.77 / $415.95 / $600.33	Professional		$258.77	$415.95	$600.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.47 / $70.23 / $120.28	Professional	26	$53.47	$70.23	$120.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $187.67 / $239.58 / $499.63	Professional	TC	$187.67	$239.58	$499.63