Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.10 / $87.10 / $87.10	Facility	26	$87.10	$87.10	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $398.11 / $602.56	Professional		$251.19	$398.11	$602.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $95.50 / $169.82	Professional	26	$60.26	$95.50	$169.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $275.42 / $501.19	Professional	TC	$186.21	$275.42	$501.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $295.12 / $354.81	Professional		$109.65	$295.12	$354.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $58.88 / $75.86	Professional	26	$41.69	$58.88	$75.86
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $239.88 / $281.84	Professional	TC	$87.10	$239.88	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $478.63 / $812.83	Professional		$251.19	$478.63	$812.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $87.10 / $169.82	Professional	26	$54.95	$87.10	$169.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $363.08 / $660.69	Professional	TC	$194.98	$363.08	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $288.40 / $676.08	Professional		$199.53	$288.40	$676.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $58.88 / $87.10	Professional	26	$44.67	$58.88	$87.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $218.78 / $645.65	Professional	TC	$154.88	$218.78	$645.65