Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.01 / $107.01 / $107.01	Facility	26	$107.01	$107.01	$107.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.94 / $441.83 / $583.54	Professional		$346.94	$441.83	$583.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.01 / $88.34 / $120.38	Professional	26	$80.01	$88.34	$120.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $265.87 / $345.43 / $463.17	Professional	TC	$265.87	$345.43	$463.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $378.51 / $445.30 / $719.60	Professional		$378.51	$445.30	$719.60
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.28 / $83.25 / $101.72	Professional	26	$58.28	$83.25	$101.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $253.44 / $362.05 / $362.05	Professional	TC	$253.44	$362.05	$362.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $450.31 / $603.47 / $1,026.89	Professional		$450.31	$603.47	$1,026.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.22 / $105.58 / $189.26	Professional	26	$88.22	$105.58	$189.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $358.57 / $497.89 / $837.62	Professional	TC	$358.57	$497.89	$837.62
United Facility/Professional Professional Modifier Low / Median / High Price $277.13 / $500.83 / $696.82	Professional		$277.13	$500.83	$696.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $80.11 / $111.16 / $148.21	Professional	26	$80.11	$111.16	$148.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $194.45 / $394.31 / $548.61	Professional	TC	$194.45	$394.31	$548.61