Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $378.12 / $378.12 / $526.08	Facility	26	$378.12	$378.12	$526.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.39 / $316.16 / $382.50	Professional		$181.39	$316.16	$382.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.17 / $63.14 / $223.73	Professional	26	$46.17	$63.14	$223.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $124.19 / $228.97 / $275.86	Professional	TC	$124.19	$228.97	$275.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.24 / $246.17 / $526.35	Professional		$209.24	$246.17	$526.35
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.10 / $78.70 / $116.54	Professional	26	$55.10	$78.70	$116.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $117.22 / $167.46 / $178.87	Professional	TC	$117.22	$167.46	$178.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.08 / $353.45 / $478.62	Professional		$182.08	$353.45	$478.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.30 / $111.46 / $126.53	Professional	26	$54.30	$111.46	$126.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $126.36 / $244.00 / $342.46	Professional	TC	$126.36	$244.00	$342.46
United Facility/Professional Professional Modifier Low / Median / High Price $186.94 / $292.98 / $396.02	Professional		$186.94	$292.98	$396.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.38 / $72.36 / $117.52	Professional	26	$55.38	$72.36	$117.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $99.37 / $193.05 / $317.95	Professional	TC	$99.37	$193.05	$317.95