Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $628.88 / $628.88 / $628.88	Facility	26	$628.88	$628.88	$628.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.08 / $312.43 / $361.82	Professional		$232.08	$312.43	$361.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.09 / $93.32 / $120.21	Professional	26	$68.09	$93.32	$120.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $163.98 / $219.11 / $250.07	Professional	TC	$163.98	$219.11	$250.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $378.72 / $421.12 / $682.83	Professional		$378.72	$421.12	$682.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $86.41 / $123.44 / $210.38	Professional	26	$86.41	$123.44	$210.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $208.37 / $297.67 / $472.45	Professional	TC	$208.37	$297.67	$472.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $438.66 / $688.78 / $989.15	Professional		$438.66	$688.78	$989.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $128.59 / $210.43 / $280.89	Professional	26	$128.59	$210.43	$280.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $310.07 / $478.35 / $708.27	Professional	TC	$310.07	$478.35	$708.27
United Facility/Professional Professional Modifier Low / Median / High Price $291.85 / $470.11 / $572.78	Professional		$291.85	$470.11	$572.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $90.36 / $148.75 / $174.99	Professional	26	$90.36	$148.75	$174.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $197.74 / $338.12 / $397.79	Professional	TC	$197.74	$338.12	$397.79