Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $930.52 / $930.52 / $930.52	Facility	26	$930.52	$930.52	$930.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.10 / $336.75 / $428.04	Professional		$274.10	$336.75	$428.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $101.97 / $137.41 / $164.59	Professional	26	$101.97	$137.41	$164.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $164.07 / $199.33 / $286.02	Professional	TC	$164.07	$199.33	$286.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $496.00 / $558.26 / $732.15	Professional		$496.00	$558.26	$732.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $128.37 / $183.38 / $305.31	Professional	26	$128.37	$183.38	$305.31
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $262.42 / $360.88 / $374.88	Professional	TC	$262.42	$360.88	$374.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $581.52 / $836.93 / $1,300.19	Professional		$581.52	$836.93	$1,300.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $191.03 / $311.36 / $417.59	Professional	26	$191.03	$311.36	$417.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $390.50 / $525.57 / $882.61	Professional	TC	$390.50	$525.57	$882.61
United Facility/Professional Professional Modifier Low / Median / High Price $319.18 / $542.67 / $696.00	Professional		$319.18	$542.67	$696.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $133.36 / $226.85 / $258.93	Professional	26	$133.36	$226.85	$258.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $180.19 / $260.57 / $437.07	Professional	TC	$180.19	$260.57	$437.07