Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $288.42 / $288.42 / $288.42	Facility	26	$288.42	$288.42	$288.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.64 / $242.79 / $279.23	Professional		$206.64	$242.79	$279.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.15 / $46.46 / $69.54	Professional	26	$44.15	$46.46	$69.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.49 / $196.94 / $232.77	Professional	TC	$162.49	$196.94	$232.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $273.35 / $321.58 / $559.79	Professional		$273.35	$321.58	$559.79
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.84 / $55.48 / $89.59	Professional	26	$38.84	$55.48	$89.59
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $186.28 / $266.11 / $266.11	Professional	TC	$186.28	$266.11	$266.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.65 / $341.24 / $624.21	Professional		$255.65	$341.24	$624.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.84 / $54.87 / $97.24	Professional	26	$44.84	$54.87	$97.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $203.39 / $256.36 / $480.98	Professional	TC	$203.39	$256.36	$480.98
United Facility/Professional Professional Modifier Low / Median / High Price $229.74 / $321.41 / $508.41	Professional		$229.74	$321.41	$508.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.64 / $55.82 / $83.19	Professional	26	$42.64	$55.82	$83.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $218.22 / $292.14 / $420.63	Professional	TC	$218.22	$292.14	$420.63