Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $228.26 / $228.26 / $228.26	Facility	26	$228.26	$228.26	$228.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.14 / $293.95 / $408.36	Professional		$259.14	$293.95	$408.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $161.72 / $179.56 / $306.12	Professional	26	$161.72	$179.56	$306.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.42 / $112.47 / $157.63	Professional	TC	$97.42	$112.47	$157.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.56 / $283.01 / $431.66	Professional		$240.56	$283.01	$431.66
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $127.15 / $181.64 / $265.27	Professional	26	$127.15	$181.64	$265.27
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $70.95 / $101.37 / $101.37	Professional	TC	$70.95	$101.37	$101.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.06 / $298.64 / $619.62	Professional		$81.06	$298.64	$619.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $190.48 / $230.27 / $411.97	Professional	26	$190.48	$230.27	$411.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $108.86 / $139.38 / $234.11	Professional	TC	$108.86	$139.38	$234.11
United Facility/Professional Professional Modifier Low / Median / High Price $253.20 / $357.13 / $515.28	Professional		$253.20	$357.13	$515.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $190.54 / $240.68 / $320.91	Professional	26	$190.54	$240.68	$320.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $95.51 / $145.78 / $212.59	Professional	TC	$95.51	$145.78	$212.59