Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.65 / $75.86 / $199.53	Facility	26	$43.65	$75.86	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $371.54 / $933.25	Professional		$281.84	$371.54	$933.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $58.88 / $169.82	Professional	26	$41.69	$58.88	$169.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $316.23 / $707.95	Professional	TC	$245.47	$316.23	$707.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $398.11 / $812.83	Professional		$275.42	$398.11	$812.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $69.18 / $123.03	Professional	26	$47.86	$69.18	$123.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $331.13 / $707.95	Professional	TC	$229.09	$331.13	$707.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.30 / $69.18 / $213.80	Facility	26	$12.30	$69.18	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $524.81 / $1,023.29	Professional		$302.00	$524.81	$1,023.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $77.62 / $144.54	Professional	26	$43.65	$77.62	$144.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $457.09 / $870.96	Professional	TC	$257.04	$457.09	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $416.87 / $831.76	Professional		$288.40	$416.87	$831.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $58.88 / $114.82	Professional	26	$43.65	$58.88	$114.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $346.74 / $724.44	Professional	TC	$245.47	$346.74	$724.44