Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $386.69 / $386.69 / $538.00	Facility	26	$386.69	$386.69	$538.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.44 / $339.97 / $367.49	Professional		$182.44	$339.97	$367.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.22 / $64.14 / $222.01	Professional	26	$47.22	$64.14	$222.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $135.22 / $281.72 / $305.50	Professional	TC	$135.22	$281.72	$305.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.64 / $340.55 / $537.67	Professional		$285.64	$340.55	$537.67
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.10 / $85.85 / $119.14	Professional	26	$60.10	$85.85	$119.14
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $178.28 / $254.69 / $254.69	Professional	TC	$178.28	$254.69	$254.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.88 / $494.33 / $542.55	Professional		$209.88	$494.33	$542.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.53 / $116.83 / $129.38	Professional	26	$55.53	$116.83	$129.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $154.35 / $372.58 / $419.56	Professional	TC	$154.35	$372.58	$419.56
United Facility/Professional Professional Modifier Low / Median / High Price $249.09 / $332.10 / $456.41	Professional		$249.09	$332.10	$456.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.28 / $80.70 / $134.47	Professional	26	$57.28	$80.70	$134.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $185.20 / $251.00 / $429.14	Professional	TC	$185.20	$251.00	$429.14