Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $606.67 / $606.67 / $844.08	Facility	26	$606.67	$606.67	$844.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.89 / $434.03 / $471.02	Professional		$278.89	$434.03	$471.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.69 / $95.62 / $206.86	Professional	26	$74.69	$95.62	$206.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $204.20 / $344.44 / $373.53	Professional	TC	$204.20	$344.44	$373.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $435.49 / $498.97 / $787.93	Professional		$435.49	$498.97	$787.93
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $95.00 / $135.71 / $189.00	Professional	26	$95.00	$135.71	$189.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $254.29 / $363.27 / $363.27	Professional	TC	$254.29	$363.27	$363.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.01 / $721.40 / $788.77	Professional		$321.01	$721.40	$788.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.96 / $181.20 / $203.00	Professional	26	$87.96	$181.20	$203.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $233.05 / $530.16 / $595.30	Professional	TC	$233.05	$530.16	$595.30
United Facility/Professional Professional Modifier Low / Median / High Price $370.29 / $491.95 / $654.34	Professional		$370.29	$491.95	$654.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.43 / $126.62 / $201.18	Professional	26	$91.43	$126.62	$201.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $270.06 / $341.12 / $494.83	Professional	TC	$270.06	$341.12	$494.83