Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.25 / $87.25 / $88.58	Facility	26	$87.25	$87.25	$88.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.45 / $197.55 / $306.55	Professional		$126.45	$197.55	$306.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.82 / $73.41 / $101.81	Professional	26	$56.82	$73.41	$101.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $53.04 / $95.74 / $243.50	Professional	TC	$53.04	$95.74	$243.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $415.00 / $682.00 / $682.00	Professional		$415.00	$682.00	$682.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $231.00 / $380.00 / $380.00	Professional	26	$231.00	$380.00	$380.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $184.00 / $302.00 / $302.00	Professional	TC	$184.00	$302.00	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.17 / $325.57 / $591.22	Professional		$241.17	$325.57	$591.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.50 / $109.46 / $218.42	Professional	26	$72.50	$109.46	$218.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $114.76 / $179.98 / $341.82	Professional	TC	$114.76	$179.98	$341.82
United Facility/Professional Professional Modifier Low / Median / High Price $270.79 / $344.08 / $842.61	Professional		$270.79	$344.08	$842.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.25 / $170.73 / $241.82	Professional	26	$66.25	$170.73	$241.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $124.88 / $160.96 / $637.99	Professional	TC	$124.88	$160.96	$637.99