Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $302.00 / $302.00 / $302.00	Facility	26	$302.00	$302.00	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $257.04 / $630.96	Professional		$123.03	$257.04	$630.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $60.26 / $190.55	Professional	26	$50.12	$60.26	$190.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $208.93 / $446.68	Professional	TC	$107.15	$208.93	$446.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $245.47 / $457.09	Professional		$186.21	$245.47	$457.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $70.79 / $123.03	Professional	26	$54.95	$70.79	$123.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $144.54 / $194.98	Professional	TC	$117.49	$144.54	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $354.81 / $537.03	Professional		$181.97	$354.81	$537.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $109.65 / $128.82	Professional	26	$46.77	$109.65	$128.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $245.47 / $416.87	Professional	TC	$125.89	$245.47	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $281.84 / $398.11	Professional		$199.53	$281.84	$398.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $69.18 / $114.82	Professional	26	$53.70	$69.18	$114.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $194.98 / $275.42	Professional	TC	$128.82	$194.98	$275.42