Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $551.08 / $551.08 / $766.72	Facility	26	$551.08	$551.08	$766.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.51 / $438.87 / $477.07	Professional		$236.51	$438.87	$477.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.66 / $91.57 / $210.61	Professional	26	$67.66	$91.57	$210.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $168.84 / $346.05 / $373.31	Professional	TC	$168.84	$346.05	$373.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $315.83 / $391.40 / $810.18	Professional		$315.83	$391.40	$810.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $86.21 / $123.15 / $179.73	Professional	26	$86.21	$123.15	$179.73
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $187.78 / $268.25 / $268.25	Professional	TC	$187.78	$268.25	$268.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.05 / $595.67 / $687.29	Professional		$288.05	$595.67	$687.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.68 / $165.23 / $184.40	Professional	26	$79.68	$165.23	$184.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $198.56 / $422.26 / $577.14	Professional	TC	$198.56	$422.26	$577.14
United Facility/Professional Professional Modifier Low / Median / High Price $320.19 / $465.22 / $656.78	Professional		$320.19	$465.22	$656.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $86.26 / $115.01 / $182.42	Professional	26	$86.26	$115.01	$182.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $182.52 / $315.64 / $486.30	Professional	TC	$182.52	$315.64	$486.30