Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $478.46 / $478.46 / $478.46	Facility	26	$478.46	$478.46	$478.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $415.46 / $433.43 / $478.08	Professional		$415.46	$433.43	$478.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.62 / $75.45 / $140.07	Professional	26	$67.62	$75.45	$140.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $344.41 / $365.81 / $402.62	Professional	TC	$344.41	$365.81	$402.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $508.00 / $508.00 / $889.20	Professional		$508.00	$508.00	$889.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.08 / $88.68 / $143.04	Professional	26	$62.08	$88.68	$143.04
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $293.52 / $419.32 / $419.32	Professional	TC	$293.52	$419.32	$419.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $529.16 / $974.84 / $1,016.15	Professional		$529.16	$974.84	$1,016.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $92.38 / $152.07 / $160.10	Professional	26	$92.38	$152.07	$160.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $436.79 / $814.74 / $864.08	Professional	TC	$436.79	$814.74	$864.08
United Facility/Professional Professional Modifier Low / Median / High Price $354.67 / $624.40 / $810.67	Professional		$354.67	$624.40	$810.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.25 / $119.18 / $141.44	Professional	26	$58.25	$119.18	$141.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $296.42 / $499.97 / $677.53	Professional	TC	$296.42	$499.97	$677.53