Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.59 / $128.59 / $128.59	Facility	26	$128.59	$128.59	$128.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $503.74 / $564.83	Professional		$275.00	$503.74	$564.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.75 / $128.59 / $144.97	Professional	26	$68.75	$128.59	$144.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $206.25 / $375.15 / $428.19	Professional	TC	$206.25	$375.15	$428.19
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 $85.01 / $116.45 / $137.41	Professional	26	$85.01	$116.45	$137.41
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $136.35 / $205.46 / $440.79	Professional	TC	$136.35	$205.46	$440.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.29 / $496.23 / $999.45	Professional		$282.29	$496.23	$999.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.72 / $121.39 / $251.00	Professional	26	$68.72	$121.39	$251.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $210.03 / $367.54 / $748.46	Professional	TC	$210.03	$367.54	$748.46
United Facility/Professional Professional Modifier Low / Median / High Price $294.49 / $392.65 / $739.78	Professional		$294.49	$392.65	$739.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.95 / $88.51 / $121.90	Professional	26	$67.95	$88.51	$121.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $225.47 / $300.62 / $631.67	Professional	TC	$225.47	$300.62	$631.67