Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.70 / $74.13 / $131.83	Facility	26	$53.70	$74.13	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $457.09 / $1,096.48	Professional		$338.84	$457.09	$1,096.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $72.44 / $218.78	Professional	26	$51.29	$72.44	$218.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $389.05 / $676.08	Professional	TC	$288.40	$389.05	$676.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $426.58 / $831.76	Professional		$173.78	$426.58	$831.76
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $66.07 / $138.04	Professional	26	$48.98	$66.07	$138.04
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $371.54 / $741.31	Professional	TC	$123.03	$371.54	$741.31
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 $223.87 / $562.34 / $1,318.26	Professional		$223.87	$562.34	$1,318.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $83.18 / $173.78	Professional	26	$54.95	$83.18	$173.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $512.86 / $1,202.26	Professional	TC	$190.55	$512.86	$1,202.26
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $446.68 / $933.25	Professional		$229.09	$446.68	$933.25
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 $177.83 / $389.05 / $812.83	Professional	TC	$177.83	$389.05	$812.83