Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.00 / $128.00 / $128.00	Facility	26	$128.00	$128.00	$128.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $505.49 / $566.22	Professional		$275.00	$505.49	$566.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.75 / $128.00 / $144.28	Professional	26	$68.75	$128.00	$144.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $206.25 / $377.49 / $430.71	Professional	TC	$206.25	$377.49	$430.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.85 / $269.50 / $578.20	Professional		$178.85	$269.50	$578.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $84.09 / $115.19 / $135.91	Professional	26	$84.09	$115.19	$135.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $136.81 / $206.15 / $442.28	Professional	TC	$136.81	$206.15	$442.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.30 / $494.89 / $1,006.85	Professional		$270.30	$494.89	$1,006.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.79 / $108.70 / $246.55	Professional	26	$63.79	$108.70	$246.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $201.87 / $382.25 / $783.93	Professional	TC	$201.87	$382.25	$783.93
United Facility/Professional Professional Modifier Low / Median / High Price $293.95 / $391.93 / $737.90	Professional		$293.95	$391.93	$737.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.16 / $87.47 / $120.48	Professional	26	$67.16	$87.47	$120.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $225.74 / $300.98 / $630.74	Professional	TC	$225.74	$300.98	$630.74