Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $220.00 / $220.00 / $220.00	Facility	26	$220.00	$220.00	$220.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.43 / $300.52 / $324.27	Professional		$287.43	$300.52	$324.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.39 / $33.02 / $39.52	Professional	26	$30.39	$33.02	$39.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $254.41 / $270.12 / $290.27	Professional	TC	$254.41	$270.12	$290.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $349.87 / $349.87 / $619.54	Professional		$349.87	$349.87	$619.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.60 / $40.85 / $66.67	Professional	26	$28.60	$40.85	$66.67
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $216.33 / $309.04 / $309.04	Professional	TC	$216.33	$309.04	$309.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.45 / $681.12 / $789.46	Professional		$364.45	$681.12	$789.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.54 / $70.25 / $73.62	Professional	26	$42.54	$70.25	$73.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $321.91 / $608.00 / $716.24	Professional	TC	$321.91	$608.00	$716.24
United Facility/Professional Professional Modifier Low / Median / High Price $247.99 / $338.52 / $525.36	Professional		$247.99	$338.52	$525.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.78 / $42.04 / $61.22	Professional	26	$26.78	$42.04	$61.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $221.21 / $326.24 / $505.61	Professional	TC	$221.21	$326.24	$505.61