Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $347.70 / $347.70 / $347.70	Facility	26	$347.70	$347.70	$347.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.94 / $277.07 / $470.17	Professional		$246.94	$277.07	$470.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.95 / $98.13 / $372.50	Professional	26	$53.95	$98.13	$372.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.35 / $196.95 / $218.71	Professional	TC	$162.35	$196.95	$218.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.55 / $326.52 / $635.79	Professional		$277.55	$326.52	$635.79
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.75 / $66.79 / $165.71	Professional	26	$46.75	$66.79	$165.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $181.82 / $259.74 / $259.74	Professional	TC	$181.82	$259.74	$259.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.20 / $345.03 / $625.42	Professional		$278.20	$345.03	$625.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.44 / $97.55 / $127.31	Professional	26	$56.44	$97.55	$127.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $210.32 / $250.81 / $470.56	Professional	TC	$210.32	$250.81	$470.56
United Facility/Professional Professional Modifier Low / Median / High Price $263.39 / $366.50 / $506.31	Professional		$263.39	$366.50	$506.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.06 / $91.36 / $113.97	Professional	26	$57.06	$91.36	$113.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $210.96 / $293.00 / $400.26	Professional	TC	$210.96	$293.00	$400.26