Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $257.04 / $257.04 / $257.04	Facility	26	$257.04	$257.04	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $457.09 / $724.44	Professional		$275.42	$457.09	$724.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $162.18 / $323.59	Professional	26	$97.72	$162.18	$323.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $288.40 / $478.63	Professional	TC	$177.83	$288.40	$478.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $426.58 / $501.19	Professional		$302.00	$426.58	$501.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $151.36 / $177.83	Professional	26	$104.71	$151.36	$177.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $281.84 / $316.23	Professional	TC	$194.98	$281.84	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $426.58 / $870.96	Professional		$346.74	$426.58	$870.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $151.36 / $186.21 / $316.23	Professional	26	$151.36	$186.21	$316.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $269.15 / $575.44	Professional	TC	$213.80	$269.15	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $398.11 / $537.03	Professional		$281.84	$398.11	$537.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $158.49 / $208.93	Professional	26	$114.82	$158.49	$208.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $239.88 / $323.59	Professional	TC	$154.88	$239.88	$323.59