Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $131.83 / $131.83 / $131.83	Facility	26	$131.83	$131.83	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $281.84 / $676.08	Professional		$177.83	$281.84	$676.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $64.57 / $177.83	Professional	26	$43.65	$64.57	$177.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $234.42 / $537.03	Professional	TC	$162.18	$234.42	$537.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $323.59 / $588.84	Professional		$239.88	$323.59	$588.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $54.95 / $93.33	Professional	26	$38.90	$54.95	$93.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $269.15 / $380.19	Professional	TC	$186.21	$269.15	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $338.84 / $645.65	Professional		$245.47	$338.84	$645.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $54.95 / $100.00	Professional	26	$43.65	$54.95	$100.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $269.15 / $537.03	Professional	TC	$204.17	$269.15	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $331.13 / $549.54	Professional		$229.09	$331.13	$549.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $58.88 / $91.20	Professional	26	$44.67	$58.88	$91.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $288.40 / $457.09	Professional	TC	$204.17	$288.40	$457.09