Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $235.00 / $235.00 / $235.00	Facility	26	$235.00	$235.00	$235.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.87 / $278.10 / $292.12	Professional		$251.87	$278.10	$292.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.17 / $35.19 / $42.61	Professional	26	$33.17	$35.19	$42.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $218.71 / $240.82 / $256.93	Professional	TC	$218.71	$240.82	$256.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $357.04 / $357.04 / $537.86	Professional		$357.04	$357.04	$537.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.55 / $43.64 / $71.80	Professional	26	$30.55	$43.64	$71.80
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $219.37 / $313.39 / $313.39	Professional	TC	$219.37	$313.39	$313.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.91 / $601.53 / $692.04	Professional		$371.91	$601.53	$692.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.46 / $75.09 / $78.63	Professional	26	$45.46	$75.09	$78.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $326.45 / $526.37 / $616.96	Professional	TC	$326.45	$526.37	$616.96
United Facility/Professional Professional Modifier Low / Median / High Price $173.76 / $251.66 / $575.23	Professional		$173.76	$251.66	$575.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.61 / $45.03 / $65.39	Professional	26	$28.61	$45.03	$65.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $138.34 / $303.87 / $509.84	Professional	TC	$138.34	$303.87	$509.84