Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $237.52 / $237.52 / $386.63	Facility	26	$237.52	$237.52	$386.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.54 / $268.95 / $1,290.00	Professional		$215.54	$268.95	$1,290.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.55 / $87.29 / $337.97	Professional	26	$60.55	$87.29	$337.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $152.76 / $182.65 / $352.03	Professional	TC	$152.76	$182.65	$352.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.07 / $258.89 / $424.10	Professional		$220.07	$258.89	$424.10
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.11 / $71.59 / $112.25	Professional	26	$50.11	$71.59	$112.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $131.12 / $187.31 / $187.31	Professional	TC	$131.12	$187.31	$187.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.12 / $413.41 / $494.25	Professional		$216.12	$413.41	$494.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.69 / $111.88 / $131.53	Professional	26	$63.69	$111.88	$131.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $184.18 / $297.44 / $347.36	Professional	TC	$184.18	$297.44	$347.36
United Facility/Professional Professional Modifier Low / Median / High Price $223.00 / $284.95 / $425.59	Professional		$223.00	$284.95	$425.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.35 / $85.39 / $130.86	Professional	26	$63.35	$85.39	$130.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $166.95 / $216.65 / $306.47	Professional	TC	$166.95	$216.65	$306.47