Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $316.23 / $316.23 / $316.23	Facility	26	$316.23	$316.23	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $316.23 / $389.05	Professional		$281.84	$316.23	$389.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $63.10 / $109.65	Professional	26	$48.98	$63.10	$109.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $251.19 / $323.59	Professional	TC	$234.42	$251.19	$323.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $275.42 / $676.08	Professional		$234.42	$275.42	$676.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $56.23 / $128.82	Professional	26	$47.86	$56.23	$128.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $218.78 / $316.23	Professional	TC	$186.21	$218.78	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $724.44 / $724.44	Professional		$380.19	$724.44	$724.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $128.82 / $141.25	Professional	26	$77.62	$128.82	$141.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $309.03 / $575.44 / $602.56	Professional	TC	$309.03	$575.44	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $446.68 / $575.44	Professional		$323.59	$446.68	$575.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $102.33 / $112.20	Professional	26	$69.18	$102.33	$112.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $338.84 / $436.52	Professional	TC	$239.88	$338.84	$436.52