Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.08 / $45.08 / $45.94	Facility	26	$45.08	$45.08	$45.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.05 / $171.59 / $280.77	Professional		$123.05	$171.59	$280.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.87 / $47.16 / $115.98	Professional	26	$43.87	$47.16	$115.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $78.56 / $113.31 / $231.46	Professional	TC	$78.56	$113.31	$231.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $342.00 / $561.00 / $561.00	Professional		$342.00	$561.00	$561.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $120.00 / $196.00 / $196.00	Professional	26	$120.00	$196.00	$196.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $222.00 / $365.00 / $365.00	Professional	TC	$222.00	$365.00	$365.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.61 / $296.04 / $549.66	Professional		$210.61	$296.04	$549.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.17 / $95.53 / $143.26	Professional	26	$63.17	$95.53	$143.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $136.74 / $220.18 / $380.36	Professional	TC	$136.74	$220.18	$380.36
United Facility/Professional Professional Modifier Low / Median / High Price $214.29 / $303.68 / $767.79	Professional		$214.29	$303.68	$767.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.32 / $92.25 / $164.99	Professional	26	$43.32	$92.25	$164.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $164.63 / $204.77 / $588.50	Professional	TC	$164.63	$204.77	$588.50