Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $199.53 / $407.38	Professional		$162.18	$199.53	$407.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $38.90 / $89.13	Professional	26	$32.36	$38.90	$89.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $162.18 / $309.03	Professional	TC	$128.82	$162.18	$309.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $323.59 / $323.59	Professional		$263.03	$323.59	$323.59
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $67.61 / $67.61	Professional	26	$53.70	$67.61	$67.61
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $257.04 / $257.04	Professional	TC	$208.93	$257.04	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $309.03 / $426.58	Professional		$194.98	$309.03	$426.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $58.88 / $85.11	Professional	26	$33.11	$58.88	$85.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $245.47 / $338.84	Professional	TC	$162.18	$245.47	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $371.54 / $691.83	Professional		$186.21	$371.54	$691.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $70.79 / $120.23	Professional	26	$35.48	$70.79	$120.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $295.12 / $588.84	Professional	TC	$147.91	$295.12	$588.84