Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.70 / $72.44 / $141.25	Facility	26	$53.70	$72.44	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $398.11 / $891.25	Professional		$302.00	$398.11	$891.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $67.61 / $199.53	Professional	26	$51.29	$67.61	$199.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $323.59 / $588.84	Professional	TC	$251.19	$323.59	$588.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $380.19 / $707.95	Professional		$181.97	$380.19	$707.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $66.07 / $117.49	Professional	26	$48.98	$66.07	$117.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $316.23 / $616.60	Professional	TC	$125.89	$316.23	$616.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.49 / $72.44 / $199.53	Facility	26	$13.49	$72.44	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $501.19 / $1,174.90	Professional		$245.47	$501.19	$1,174.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $83.18 / $169.82	Professional	26	$54.95	$83.18	$169.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $426.58 / $1,000.00	Professional	TC	$186.21	$426.58	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $380.19 / $794.33	Professional		$223.87	$380.19	$794.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $67.61 / $125.89	Professional	26	$47.86	$67.61	$125.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $323.59 / $676.08	Professional	TC	$173.78	$323.59	$676.08