Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.47 / $52.47 / $53.47	Facility	26	$52.47	$52.47	$53.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.27 / $267.52 / $345.16	Professional		$192.27	$267.52	$345.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.07 / $55.67 / $73.44	Professional	26	$50.07	$55.67	$73.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $141.11 / $205.53 / $289.50	Professional	TC	$141.11	$205.53	$289.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $536.00 / $881.00 / $881.00	Professional		$536.00	$881.00	$881.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $140.00 / $230.00 / $230.00	Professional	26	$140.00	$230.00	$230.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $396.00 / $651.00 / $651.00	Professional	TC	$396.00	$651.00	$651.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.29 / $425.97 / $702.89	Professional		$290.29	$425.97	$702.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.17 / $95.53 / $166.50	Professional	26	$63.17	$95.53	$166.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $212.99 / $316.30 / $550.16	Professional	TC	$212.99	$316.30	$550.16
United Facility/Professional Professional Modifier Low / Median / High Price $255.59 / $396.76 / $881.09	Professional		$255.59	$396.76	$881.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.39 / $103.95 / $179.29	Professional	26	$49.39	$103.95	$179.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $206.20 / $321.79 / $701.80	Professional	TC	$206.20	$321.79	$701.80