Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.48 / $52.48 / $52.48	Facility	26	$52.48	$52.48	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $109.65 / $165.96	Professional		$70.79	$109.65	$165.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $69.18 / $104.71	Professional	TC	$41.69	$69.18	$104.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $147.91 / $218.78	Professional		$107.15	$147.91	$218.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $72.44 / $91.20	Professional	TC	$50.12	$72.44	$91.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.71 / $45.71 / $46.77	Facility	26	$45.71	$45.71	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $128.82 / $275.42	Professional		$77.62	$128.82	$275.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $97.72 / $190.55	Professional	TC	$50.12	$97.72	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $109.65 / $208.93	Professional		$77.62	$109.65	$208.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $64.57 / $154.88	Professional	TC	$45.71	$64.57	$154.88