Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $302.00 / $302.00 / $302.00	Facility	26	$302.00	$302.00	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $194.98 / $707.95	Professional		$114.82	$194.98	$707.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $295.12 / $1,000.00	Professional	26	$58.88	$295.12	$1,000.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $97.72 / $165.96	Professional	TC	$60.26	$97.72	$165.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $151.36 / $316.23	Professional		$107.15	$151.36	$316.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $70.79 / $117.49	Professional	26	$50.12	$70.79	$117.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $60.26 / $165.96	Professional	TC	$56.23	$60.26	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $269.15 / $354.81	Professional		$158.49	$269.15	$354.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $123.03 / $165.96	Professional	26	$75.86	$123.03	$165.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $141.25 / $186.21	Professional	TC	$83.18	$141.25	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $190.55 / $263.03	Professional		$128.82	$190.55	$263.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $77.62 / $104.71	Professional	26	$54.95	$77.62	$104.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $109.65 / $158.49	Professional	TC	$67.61	$109.65	$158.49