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 $250.65 / $552.87 / $600.00	Professional		$250.65	$552.87	$600.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.50 / $86.14 / $180.00	Professional	26	$62.50	$86.14	$180.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $190.62 / $420.00 / $473.80	Professional	TC	$190.62	$420.00	$473.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.77 / $336.21 / $908.69	Professional		$285.77	$336.21	$908.69
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.44 / $80.63 / $111.93	Professional	26	$56.44	$80.63	$111.93
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $178.91 / $255.58 / $285.49	Professional	TC	$178.91	$255.58	$285.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.83 / $484.63 / $683.40	Professional		$289.83	$484.63	$683.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.11 / $114.33 / $121.50	Professional	26	$52.11	$114.33	$121.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $220.32 / $374.65 / $593.48	Professional	TC	$220.32	$374.65	$593.48
United Facility/Professional Professional Modifier Low / Median / High Price $221.18 / $406.42 / $578.73	Professional		$221.18	$406.42	$578.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.48 / $68.81 / $107.24	Professional	26	$53.48	$68.81	$107.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $198.86 / $292.30 / $503.52	Professional	TC	$198.86	$292.30	$503.52