Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.43 / $67.43 / $67.43	Facility	26	$67.43	$67.43	$67.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $319.55 / $420.95 / $571.88	Professional		$319.55	$420.95	$571.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.69 / $56.95 / $102.00	Professional	26	$49.69	$56.95	$102.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $268.39 / $368.11 / $495.59	Professional	TC	$268.39	$368.11	$495.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $385.62 / $453.67 / $574.39	Professional		$385.62	$453.67	$574.39
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.53 / $55.05 / $67.17	Professional	26	$38.53	$55.05	$67.17
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $279.02 / $398.62 / $398.62	Professional	TC	$279.02	$398.62	$398.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $463.65 / $617.98 / $1,047.41	Professional		$463.65	$617.98	$1,047.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.25 / $69.81 / $124.66	Professional	26	$58.25	$69.81	$124.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $399.73 / $548.16 / $922.76	Professional	TC	$399.73	$548.16	$922.76
United Facility/Professional Professional Modifier Low / Median / High Price $168.37 / $484.91 / $738.91	Professional		$168.37	$484.91	$738.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.35 / $70.59 / $98.21	Professional	26	$55.35	$70.59	$98.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $113.99 / $420.46 / $640.70	Professional	TC	$113.99	$420.46	$640.70