Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $527.55 / $527.55 / $734.00	Facility	26	$527.55	$527.55	$734.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.72 / $213.76 / $322.56	Professional		$155.72	$213.76	$322.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.75 / $85.73 / $188.11	Professional	26	$64.75	$85.73	$188.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $90.97 / $136.56 / $148.03	Professional	TC	$90.97	$136.56	$148.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.83 / $270.38 / $458.44	Professional		$227.83	$270.38	$458.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $82.28 / $117.54 / $163.28	Professional	26	$82.28	$117.54	$163.28
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $106.99 / $152.84 / $152.84	Professional	TC	$106.99	$152.84	$152.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.16 / $386.42 / $468.54	Professional		$180.16	$386.42	$468.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.29 / $166.02 / $176.52	Professional	26	$76.29	$166.02	$176.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $103.57 / $220.40 / $243.81	Professional	TC	$103.57	$220.40	$243.81
United Facility/Professional Professional Modifier Low / Median / High Price $190.22 / $245.75 / $418.64	Professional		$190.22	$245.75	$418.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $78.77 / $105.99 / $174.68	Professional	26	$78.77	$105.99	$174.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $83.72 / $145.13 / $199.39	Professional	TC	$83.72	$145.13	$199.39