Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $295.12 / $295.12 / $295.12	Facility	26	$295.12	$295.12	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $295.12 / $602.56	Professional		$181.97	$295.12	$602.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $102.33 / $204.17	Professional	26	$53.70	$102.33	$204.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $245.47 / $446.68	Professional	TC	$123.03	$245.47	$446.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $251.19 / $457.09	Professional		$186.21	$251.19	$457.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $74.13 / $120.23	Professional	26	$57.54	$74.13	$120.23
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 $186.21 / $354.81 / $537.03	Professional		$186.21	$354.81	$537.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $109.65 / $125.89	Professional	26	$48.98	$109.65	$125.89
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 $204.17 / $288.40 / $398.11	Professional		$204.17	$288.40	$398.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $69.18 / $112.20	Professional	26	$52.48	$69.18	$112.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $199.53 / $275.42	Professional	TC	$134.90	$199.53	$275.42