Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $295.12 / $295.12 / $295.12	Facility	26	$295.12	$295.12	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $389.05 / $707.95	Professional		$213.80	$389.05	$707.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $100.00 / $190.55	Professional	26	$51.29	$100.00	$190.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $302.00 / $549.54	Professional	TC	$162.18	$302.00	$549.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $346.74 / $616.60	Professional		$263.03	$346.74	$616.60
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $74.13 / $120.23	Professional	26	$57.54	$74.13	$120.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $213.80 / $295.12	Professional	TC	$186.21	$213.80	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $512.86 / $758.58	Professional		$223.87	$512.86	$758.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $112.20 / $128.82	Professional	26	$48.98	$112.20	$128.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $398.11 / $602.56	Professional	TC	$173.78	$398.11	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $371.54 / $588.84	Professional		$275.42	$371.54	$588.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $69.18 / $112.20	Professional	26	$52.48	$69.18	$112.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $281.84 / $457.09	Professional	TC	$213.80	$281.84	$457.09