Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.13 / $60.07 / $113.43	Facility	26	$48.13	$60.07	$113.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.77 / $357.92 / $655.82	Professional		$313.77	$357.92	$655.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.74 / $50.84 / $107.52	Professional	26	$44.74	$50.84	$107.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $265.11 / $308.92 / $533.11	Professional	TC	$265.11	$308.92	$533.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $310.91 / $397.26 / $634.86	Professional		$310.91	$397.26	$634.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.54 / $63.90 / $100.32	Professional	26	$48.54	$63.90	$100.32
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $259.26 / $344.23 / $552.92	Professional	TC	$259.26	$344.23	$552.92
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.28 / $57.28 / $57.28	Facility	26	$57.28	$57.28	$57.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.33 / $494.57 / $819.12	Professional		$323.33	$494.57	$819.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.14 / $72.33 / $118.17	Professional	26	$53.14	$72.33	$118.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $261.91 / $411.01 / $703.29	Professional	TC	$261.91	$411.01	$703.29
United Facility/Professional Professional Modifier Low / Median / High Price $302.07 / $416.23 / $762.51	Professional		$302.07	$416.23	$762.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.20 / $60.00 / $107.76	Professional	26	$45.20	$60.00	$107.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $256.87 / $357.11 / $640.85	Professional	TC	$256.87	$357.11	$640.85