Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $408.02 / $408.02 / $408.02	Facility	26	$408.02	$408.02	$408.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $504.86 / $1,224.00	Professional		$250.00	$504.86	$1,224.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.01 / $140.00 / $374.32	Professional	26	$89.01	$140.00	$374.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $204.42 / $415.86 / $472.35	Professional	TC	$204.42	$415.86	$472.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.06 / $328.31 / $834.67	Professional		$279.06	$328.31	$834.67
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.83 / $91.18 / $126.43	Professional	26	$63.83	$91.18	$126.43
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $166.01 / $237.15 / $270.76	Professional	TC	$166.01	$237.15	$270.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.89 / $474.19 / $684.25	Professional		$274.89	$474.19	$684.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.59 / $128.59 / $136.53	Professional	26	$58.59	$128.59	$136.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $204.44 / $345.60 / $536.36	Professional	TC	$204.44	$345.60	$536.36
United Facility/Professional Professional Modifier Low / Median / High Price $259.43 / $430.41 / $579.45	Professional		$259.43	$430.41	$579.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.11 / $79.56 / $135.28	Professional	26	$60.11	$79.56	$135.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $192.01 / $309.16 / $495.02	Professional	TC	$192.01	$309.16	$495.02