Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $288.40 / $288.40 / $288.40	Facility	26	$288.40	$288.40	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $478.63 / $1,000.00	Professional		$269.15	$478.63	$1,000.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $125.89 / $186.21	Professional	26	$70.79	$125.89	$186.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $338.84 / $691.83	Professional	TC	$194.98	$338.84	$691.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $363.08 / $676.08	Professional		$275.42	$363.08	$676.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $91.20 / $117.49	Professional	26	$70.79	$91.20	$117.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $245.47 / $309.03	Professional	TC	$181.97	$245.47	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $549.54 / $1,000.00	Professional		$309.03	$549.54	$1,000.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $114.82 / $165.96	Professional	26	$52.48	$114.82	$165.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $389.05 / $891.25	Professional	TC	$223.87	$389.05	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $426.58 / $630.96	Professional		$288.40	$426.58	$630.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $83.18 / $138.04	Professional	26	$53.70	$83.18	$138.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $295.12 / $537.03	Professional	TC	$204.17	$295.12	$537.03