Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.43 / $72.43 / $73.80	Facility	26	$72.43	$72.43	$73.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.21 / $294.08 / $475.00	Professional		$175.21	$294.08	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.68 / $85.30 / $140.00	Professional	26	$60.68	$85.30	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $114.53 / $208.78 / $335.00	Professional	TC	$114.53	$208.78	$335.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $587.00 / $964.00 / $1,781.00	Professional		$587.00	$964.00	$1,781.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $193.00 / $317.00 / $586.00	Professional	26	$193.00	$317.00	$586.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $394.00 / $647.00 / $1,195.00	Professional	TC	$394.00	$647.00	$1,195.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.82 / $364.84 / $662.99	Professional		$265.82	$364.84	$662.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.37 / $118.19 / $210.90	Professional	26	$88.37	$118.19	$210.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $177.45 / $254.54 / $452.09	Professional	TC	$177.45	$254.54	$452.09
United Facility/Professional Professional Modifier Low / Median / High Price $396.47 / $523.91 / $2,355.10	Professional		$396.47	$523.91	$2,355.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.31 / $158.11 / $263.99	Professional	26	$69.31	$158.11	$263.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $273.58 / $373.22 / $2,104.30	Professional	TC	$273.58	$373.22	$2,104.30