Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $450.63 / $450.63 / $450.63	Facility	26	$450.63	$450.63	$450.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $475.00 / $926.50	Professional		$250.00	$475.00	$926.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.78 / $140.00 / $180.00	Professional	26	$74.78	$140.00	$180.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.50 / $335.00 / $420.00	Professional	TC	$187.50	$335.00	$420.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.16 / $281.36 / $766.55	Professional		$239.16	$281.36	$766.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.18 / $100.25 / $150.86	Professional	26	$70.18	$100.25	$150.86
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $126.78 / $181.11 / $204.49	Professional	TC	$126.78	$181.11	$204.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.47 / $404.07 / $639.70	Professional		$195.47	$404.07	$639.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.41 / $135.50 / $150.79	Professional	26	$64.41	$135.50	$150.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $133.80 / $268.87 / $372.61	Professional	TC	$133.80	$268.87	$372.61
United Facility/Professional Professional Modifier Low / Median / High Price $205.21 / $342.82 / $601.78	Professional		$205.21	$342.82	$601.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.53 / $93.64 / $148.86	Professional	26	$70.53	$93.64	$148.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $143.85 / $212.25 / $422.24	Professional	TC	$143.85	$212.25	$422.24