Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $228.91 / $228.91 / $228.91	Facility	26	$228.91	$228.91	$228.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.39 / $215.08 / $486.60	Professional		$189.39	$215.08	$486.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.74 / $35.79 / $63.15	Professional	26	$25.74	$35.79	$63.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $140.87 / $176.39 / $216.49	Professional	TC	$140.87	$176.39	$216.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.20 / $323.50 / $573.41	Professional		$236.20	$323.50	$573.41
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.49 / $44.98 / $74.81	Professional	26	$31.49	$44.98	$74.81
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $194.97 / $278.52 / $323.42	Professional	TC	$194.97	$278.52	$323.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $336.98 / $570.41 / $778.64	Professional		$336.98	$570.41	$778.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.84 / $76.59 / $104.12	Professional	26	$46.84	$76.59	$104.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $290.14 / $493.81 / $674.52	Professional	TC	$290.14	$493.81	$674.52
United Facility/Professional Professional Modifier Low / Median / High Price $147.88 / $334.64 / $474.35	Professional		$147.88	$334.64	$474.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.87 / $47.77 / $81.42	Professional	26	$27.87	$47.77	$81.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $137.25 / $396.54 / $410.65	Professional	TC	$137.25	$396.54	$410.65