Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $593.75 / $777.06	Facility		$90.00	$593.75	$777.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.41 / $162.56 / $211.81	Professional		$160.41	$162.56	$211.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.94 / $90.89 / $153.76	Professional	26	$41.94	$90.89	$153.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $110.18 / $118.47 / $122.45	Professional	TC	$110.18	$118.47	$122.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.00 / $244.00 / $244.00	Professional		$198.00	$244.00	$244.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.00 / $69.00 / $69.00	Professional	26	$56.00	$69.00	$69.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $142.00 / $175.00 / $175.00	Professional	TC	$142.00	$175.00	$175.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.53 / $236.17 / $363.34	Professional		$189.53	$236.17	$363.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.69 / $68.73 / $106.41	Professional	26	$53.69	$68.73	$106.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $135.84 / $167.43 / $257.58	Professional	TC	$135.84	$167.43	$257.58
United Facility/Professional Professional Modifier Low / Median / High Price $260.14 / $315.83 / $544.51	Professional		$260.14	$315.83	$544.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.09 / $81.41 / $153.90	Professional	26	$66.09	$81.41	$153.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $178.74 / $236.20 / $404.19	Professional	TC	$178.74	$236.20	$404.19