Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $369.55 / $369.55 / $514.16	Facility	26	$369.55	$369.55	$514.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.74 / $303.73 / $341.35	Professional		$180.74	$303.73	$341.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.23 / $58.61 / $87.74	Professional	26	$45.23	$58.61	$87.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $124.19 / $229.28 / $276.24	Professional	TC	$124.19	$229.28	$276.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.12 / $249.55 / $527.05	Professional		$212.12	$249.55	$527.05
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.46 / $82.08 / $114.57	Professional	26	$57.46	$82.08	$114.57
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $117.22 / $167.46 / $167.46	Professional	TC	$117.22	$167.46	$167.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.52 / $357.54 / $475.68	Professional		$184.52	$357.54	$475.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.30 / $111.83 / $123.65	Professional	26	$53.30	$111.83	$123.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $126.63 / $243.31 / $342.46	Professional	TC	$126.63	$243.31	$342.46
United Facility/Professional Professional Modifier Low / Median / High Price $206.70 / $291.98 / $400.18	Professional		$206.70	$291.98	$400.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.76 / $69.83 / $122.48	Professional	26	$54.76	$69.83	$122.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $135.91 / $200.57 / $317.95	Professional	TC	$135.91	$200.57	$317.95