Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $292.50 / $292.50 / $292.50	Facility	26	$292.50	$292.50	$292.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.19 / $247.29 / $252.09	Professional		$202.19	$247.29	$252.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.93 / $47.87 / $47.87	Professional	26	$42.93	$47.87	$47.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $159.27 / $197.14 / $204.22	Professional	TC	$159.27	$197.14	$204.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.52 / $248.52 / $428.35	Professional		$248.52	$248.52	$428.35
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.53 / $53.62 / $86.56	Professional	26	$37.53	$53.62	$86.56
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $136.43 / $194.90 / $194.90	Professional	TC	$136.43	$194.90	$194.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.87 / $472.15 / $482.36	Professional		$258.87	$472.15	$482.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.85 / $92.00 / $97.88	Professional	26	$55.85	$92.00	$97.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $203.02 / $374.27 / $390.36	Professional	TC	$203.02	$374.27	$390.36
United Facility/Professional Professional Modifier Low / Median / High Price $171.78 / $268.36 / $392.64	Professional		$171.78	$268.36	$392.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.61 / $57.76 / $81.39	Professional	26	$35.61	$57.76	$81.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $136.16 / $264.56 / $311.25	Professional	TC	$136.16	$264.56	$311.25