Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $416.59 / $416.59 / $579.60	Facility	26	$416.59	$416.59	$579.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.34 / $354.55 / $420.12	Professional		$215.34	$354.55	$420.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.05 / $62.45 / $73.05	Professional	26	$51.05	$62.45	$73.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $152.88 / $264.52 / $347.07	Professional	TC	$152.88	$264.52	$347.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.98 / $289.39 / $638.03	Professional		$245.98	$289.39	$638.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.09 / $84.42 / $128.28	Professional	26	$59.09	$84.42	$128.28
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $143.49 / $204.99 / $218.46	Professional	TC	$143.49	$204.99	$218.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.92 / $425.00 / $573.42	Professional		$214.92	$425.00	$573.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.08 / $119.13 / $139.38	Professional	26	$60.08	$119.13	$139.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $155.94 / $297.50 / $422.21	Professional	TC	$155.94	$297.50	$422.21
United Facility/Professional Professional Modifier Low / Median / High Price $235.67 / $358.92 / $478.42	Professional		$235.67	$358.92	$478.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.70 / $83.24 / $125.34	Professional	26	$61.70	$83.24	$125.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $164.70 / $235.78 / $397.55	Professional	TC	$164.70	$235.78	$397.55