Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $199.53 / $199.53 / $199.53	Facility	26	$199.53	$199.53	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $125.89 / $309.03	Professional		$70.79	$125.89	$309.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $77.62 / $223.87	Professional	TC	$39.81	$77.62	$223.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $134.90 / $269.15	Professional		$102.33	$134.90	$269.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $83.18 / $117.49	Professional	TC	$60.26	$83.18	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $173.78 / $275.42	Professional		$91.20	$173.78	$275.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $131.83 / $208.93	Professional	TC	$58.88	$131.83	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $144.54 / $251.19	Professional		$104.71	$144.54	$251.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $89.13 / $165.96	Professional	TC	$63.10	$89.13	$165.96