Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $162.65 / $162.65 / $162.65	Facility	TC	$162.65	$162.65	$162.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.47 / $442.15 / $508.56	Professional		$322.47	$442.15	$508.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $143.80 / $203.05 / $233.47	Professional	26	$143.80	$203.05	$233.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.65 / $217.63 / $364.75	Professional	TC	$162.65	$217.63	$364.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $360.90 / $399.40 / $471.29	Professional		$360.90	$399.40	$471.29
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $107.05 / $179.40 / $211.69	Professional	26	$107.05	$179.40	$211.69
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $198.80 / $220.00 / $259.60	Professional	TC	$198.80	$220.00	$259.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.16 / $326.16 / $365.04	Professional		$326.16	$326.16	$365.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $153.56 / $153.56 / $245.97	Professional	26	$153.56	$153.56	$245.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $172.60 / $172.60 / $172.60	Professional	TC	$172.60	$172.60	$172.60
United Facility/Professional Professional Modifier Low / Median / High Price $193.87 / $323.12 / $592.75	Professional		$193.87	$323.12	$592.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $107.36 / $143.81 / $185.50	Professional	26	$107.36	$143.81	$185.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $86.51 / $144.18 / $415.14	Professional	TC	$86.51	$144.18	$415.14