Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.86 / $75.86 / $94.00	Facility	26	$75.86	$75.86	$94.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.41 / $197.90 / $323.98	Professional		$136.41	$197.90	$323.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.77 / $74.83 / $106.43	Professional	26	$48.77	$74.83	$106.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $87.64 / $126.40 / $202.41	Professional	TC	$87.64	$126.40	$202.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.17 / $392.00 / $392.00	Professional		$296.17	$392.00	$392.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.21 / $81.02 / $81.02	Professional	26	$61.21	$81.02	$81.02
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $234.96 / $310.98 / $310.98	Professional	TC	$234.96	$310.98	$310.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.02 / $405.35 / $555.26	Professional		$285.02	$405.35	$555.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.01 / $80.67 / $112.75	Professional	26	$56.01	$80.67	$112.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $222.83 / $325.80 / $439.48	Professional	TC	$222.83	$325.80	$439.48
United Facility/Professional Professional Modifier Low / Median / High Price $249.61 / $329.62 / $581.04	Professional		$249.61	$329.62	$581.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.69 / $70.97 / $109.53	Professional	26	$53.69	$70.97	$109.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $204.99 / $258.97 / $464.02	Professional	TC	$204.99	$258.97	$464.02