Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $281.84 / $281.84 / $281.84	Facility	26	$281.84	$281.84	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $338.84 / $630.96	Professional		$208.93	$338.84	$630.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $95.50 / $177.83	Professional	26	$52.48	$95.50	$177.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $257.04 / $478.63	Professional	TC	$158.49	$257.04	$478.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $331.13 / $549.54	Professional		$251.19	$331.13	$549.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $70.79 / $114.82	Professional	26	$54.95	$70.79	$114.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $213.80 / $295.12	Professional	TC	$177.83	$213.80	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $457.09 / $645.65	Professional		$199.53	$457.09	$645.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $104.71 / $120.23	Professional	26	$45.71	$104.71	$120.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $354.81 / $524.81	Professional	TC	$154.88	$354.81	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $309.03 / $512.86	Professional		$245.47	$309.03	$512.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $66.07 / $107.15	Professional	26	$50.12	$66.07	$107.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $234.42 / $407.38	Professional	TC	$186.21	$234.42	$407.38