Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.43 / $49.86 / $90.52	Facility	26	$38.43	$49.86	$90.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.95 / $106.08 / $164.68	Professional		$87.95	$106.08	$164.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.31 / $69.37 / $115.80	Professional	TC	$54.31	$69.37	$115.80
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $43.93 / $43.93 / $43.93	Facility	26	$43.93	$43.93	$43.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.78 / $143.94 / $279.60	Professional		$104.78	$143.94	$279.60
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.97 / $95.93 / $196.59	Professional	TC	$64.97	$95.93	$196.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.47 / $45.47 / $45.47	Facility	26	$45.47	$45.47	$45.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.37 / $169.60 / $301.12	Professional		$96.37	$169.60	$301.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $59.17 / $107.41 / $205.53	Professional	TC	$59.17	$107.41	$205.53
United Facility/Professional Professional Modifier Low / Median / High Price $97.00 / $142.51 / $248.85	Professional		$97.00	$142.51	$248.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $57.78 / $89.24 / $158.85	Professional	TC	$57.78	$89.24	$158.85