Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $54.95 / $54.95	Facility	26	$54.95	$54.95	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $257.04 / $501.19	Professional		$181.97	$257.04	$501.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $61.66 / $134.90	Professional	26	$53.70	$61.66	$134.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $213.80 / $389.05	Professional	TC	$131.83	$213.80	$389.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $794.33 / $794.33	Professional		$512.86	$794.33	$794.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $144.54 / $223.87 / $223.87	Professional	26	$144.54	$223.87	$223.87
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $363.08 / $562.34 / $562.34	Professional	TC	$363.08	$562.34	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $537.03 / $891.25	Professional		$316.23	$537.03	$891.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $120.23 / $213.80	Professional	26	$66.07	$120.23	$213.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $416.87 / $724.44	Professional	TC	$229.09	$416.87	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $436.52 / $1,122.02	Professional		$331.13	$436.52	$1,122.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $109.65 / $186.21	Professional	26	$52.48	$109.65	$186.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $338.84 / $933.25	Professional	TC	$269.15	$338.84	$933.25