Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $389.05 / $389.05 / $389.05	Facility	26	$389.05	$389.05	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $416.87 / $1,412.54	Professional		$194.98	$416.87	$1,412.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $125.89 / $263.03	Professional	26	$64.57	$125.89	$263.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $281.84 / $660.69	Professional	TC	$154.88	$281.84	$660.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $281.84 / $524.81	Professional		$208.93	$281.84	$524.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $91.20 / $158.49	Professional	26	$70.79	$91.20	$158.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $169.82 / $213.80	Professional	TC	$125.89	$169.82	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $407.38 / $776.25	Professional		$190.55	$407.38	$776.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $134.90 / $162.18	Professional	26	$58.88	$134.90	$162.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $269.15 / $630.96	Professional	TC	$134.90	$269.15	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $346.74 / $602.56	Professional		$218.78	$346.74	$602.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $85.11 / $134.90	Professional	26	$69.18	$85.11	$134.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $204.17 / $416.87	Professional	TC	$144.54	$204.17	$416.87