Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.98 / $128.35 / $128.35	Facility	26	$77.98	$128.35	$128.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $425.00 / $505.40	Professional		$275.00	$425.00	$505.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.75 / $128.35 / $144.60	Professional	26	$68.75	$128.35	$144.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $206.25 / $309.00 / $340.00	Professional	TC	$206.25	$309.00	$340.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.56 / $266.05 / $570.79	Professional		$176.56	$266.05	$570.79
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $113.87 / $155.97 / $184.06	Professional	26	$113.87	$155.97	$184.06
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $119.63 / $180.26 / $386.73	Professional	TC	$119.63	$180.26	$386.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.38 / $395.38 / $949.46	Professional		$220.38	$395.38	$949.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.12 / $112.52 / $268.41	Professional	26	$64.12	$112.52	$268.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $151.72 / $282.83 / $787.27	Professional	TC	$151.72	$282.83	$787.27
United Facility/Professional Professional Modifier Low / Median / High Price $246.77 / $346.75 / $814.51	Professional		$246.77	$346.75	$814.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.91 / $88.03 / $128.04	Professional	26	$69.91	$88.03	$128.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $176.18 / $243.93 / $655.60	Professional	TC	$176.18	$243.93	$655.60