Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.82 / $128.82 / $128.82	Facility	26	$128.82	$128.82	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $501.19 / $851.14	Professional		$316.23	$501.19	$851.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $134.90 / $380.19	Professional	26	$85.11	$134.90	$380.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $338.84 / $630.96	Professional	TC	$234.42	$338.84	$630.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $489.78 / $575.44	Professional		$177.83	$489.78	$575.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $117.49 / $147.91	Professional	26	$81.28	$117.49	$147.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $371.54 / $436.52	Professional	TC	$134.90	$371.54	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $501.19 / $954.99	Professional		$338.84	$501.19	$954.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $134.90 / $234.42	Professional	26	$83.18	$134.90	$234.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $389.05 / $794.33	Professional	TC	$269.15	$389.05	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $398.11 / $741.31	Professional		$295.12	$398.11	$741.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $89.13 / $131.83	Professional	26	$67.61	$89.13	$131.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $309.03 / $616.60	Professional	TC	$223.87	$309.03	$616.60