Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $111.63 / $137.76 / $147.30	Facility	26	$111.63	$137.76	$147.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $598.50 / $661.50	Professional		$475.00	$598.50	$661.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $110.00 / $140.50 / $176.40	Professional	26	$110.00	$140.50	$176.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $425.39 / $488.08	Professional	TC	$335.00	$425.39	$488.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $374.74 / $495.98 / $551.09	Professional		$374.74	$495.98	$551.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $91.43 / $121.01 / $134.44	Professional	26	$91.43	$121.01	$134.44
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $283.32 / $374.98 / $416.64	Professional	TC	$283.32	$374.98	$416.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.54 / $575.84 / $793.16	Professional		$355.54	$575.84	$793.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.79 / $123.79 / $181.70	Professional	26	$81.79	$123.79	$181.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $268.79 / $439.09 / $649.91	Professional	TC	$268.79	$439.09	$649.91
United Facility/Professional Professional Modifier Low / Median / High Price $360.58 / $548.70 / $749.15	Professional		$360.58	$548.70	$749.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.32 / $103.42 / $167.40	Professional	26	$83.32	$103.42	$167.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $270.88 / $449.87 / $561.66	Professional	TC	$270.88	$449.87	$561.66