Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.99 / $226.79 / $278.63	Professional		$174.99	$226.79	$278.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.53 / $50.63 / $89.24	Professional	26	$31.53	$50.63	$89.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $137.97 / $191.38 / $230.22	Professional	TC	$137.97	$191.38	$230.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.00 / $341.00 / $341.00	Professional		$277.00	$341.00	$341.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.00 / $67.00 / $67.00	Professional	26	$54.00	$67.00	$67.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $223.00 / $274.00 / $274.00	Professional	TC	$223.00	$274.00	$274.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.18 / $324.86 / $447.80	Professional		$201.18	$324.86	$447.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.40 / $58.63 / $82.08	Professional	26	$37.40	$58.63	$82.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $171.90 / $261.77 / $329.53	Professional	TC	$171.90	$261.77	$329.53
United Facility/Professional Professional Modifier Low / Median / High Price $307.89 / $407.55 / $843.72	Professional		$307.89	$407.55	$843.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.78 / $73.87 / $110.53	Professional	26	$40.78	$73.87	$110.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $252.57 / $333.75 / $716.19	Professional	TC	$252.57	$333.75	$716.19