Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.77 / $53.77 / $54.78	Facility	26	$53.77	$53.77	$54.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.63 / $182.51 / $281.95	Professional		$130.63	$182.51	$281.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.28 / $56.98 / $280.81	Professional	26	$51.28	$56.98	$280.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $77.34 / $111.61 / $224.97	Professional	TC	$77.34	$111.61	$224.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $362.00 / $595.00 / $595.00	Professional		$362.00	$595.00	$595.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $143.00 / $236.00 / $236.00	Professional	26	$143.00	$236.00	$236.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $219.00 / $359.00 / $359.00	Professional	TC	$219.00	$359.00	$359.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.93 / $293.89 / $486.58	Professional		$195.93	$293.89	$486.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.72 / $97.89 / $170.51	Professional	26	$64.72	$97.89	$170.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $116.77 / $181.76 / $330.18	Professional	TC	$116.77	$181.76	$330.18
United Facility/Professional Professional Modifier Low / Median / High Price $210.83 / $292.55 / $737.00	Professional		$210.83	$292.55	$737.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.55 / $107.11 / $183.71	Professional	26	$50.55	$107.11	$183.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $140.57 / $174.84 / $553.29	Professional	TC	$140.57	$174.84	$553.29