Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $542.40 / $542.40 / $754.64	Facility	26	$542.40	$542.40	$754.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.04 / $388.27 / $470.29	Professional		$240.04	$388.27	$470.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.83 / $83.24 / $96.98	Professional	26	$66.83	$83.24	$96.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $173.21 / $309.93 / $373.31	Professional	TC	$173.21	$309.93	$373.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $314.64 / $389.06 / $805.15	Professional		$314.64	$389.06	$805.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $84.85 / $121.21 / $170.01	Professional	26	$84.85	$121.21	$170.01
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $187.49 / $267.83 / $267.83	Professional	TC	$187.49	$267.83	$267.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.62 / $644.79 / $702.82	Professional		$303.62	$644.79	$702.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.72 / $162.58 / $181.50	Professional	26	$78.72	$162.58	$181.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $222.31 / $474.14 / $561.28	Professional	TC	$222.31	$474.14	$561.28
United Facility/Professional Professional Modifier Low / Median / High Price $278.54 / $457.14 / $693.64	Professional		$278.54	$457.14	$693.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.34 / $105.56 / $179.32	Professional	26	$81.34	$105.56	$179.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $235.17 / $346.99 / $534.39	Professional	TC	$235.17	$346.99	$534.39