Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $354.55 / $354.55 / $354.55	Facility	26	$354.55	$354.55	$354.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $310.02 / $330.02 / $356.69	Professional		$310.02	$330.02	$356.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.03 / $53.09 / $54.77	Professional	26	$49.03	$53.09	$54.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $256.93 / $280.99 / $301.92	Professional	TC	$256.93	$280.99	$301.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $378.59 / $378.59 / $652.66	Professional		$378.59	$378.59	$652.66
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $45.86 / $65.52 / $106.39	Professional	26	$45.86	$65.52	$106.39
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $219.15 / $313.07 / $313.07	Professional	TC	$219.15	$313.07	$313.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.36 / $730.20 / $734.64	Professional		$394.36	$730.20	$734.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.25 / $112.39 / $118.62	Professional	26	$68.25	$112.39	$118.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $326.11 / $616.01 / $619.58	Professional	TC	$326.11	$616.01	$619.58
United Facility/Professional Professional Modifier Low / Median / High Price $267.27 / $413.73 / $610.92	Professional		$267.27	$413.73	$610.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.16 / $74.00 / $98.66	Professional	26	$43.16	$74.00	$98.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $224.12 / $305.32 / $512.27	Professional	TC	$224.12	$305.32	$512.27