Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $247.60 / $247.60 / $247.60	Facility	26	$247.60	$247.60	$247.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.25 / $104.43 / $138.69	Professional		$71.25	$104.43	$138.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.32 / $66.75 / $100.62	Professional	TC	$40.32	$66.75	$100.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.94 / $135.26 / $254.07	Professional		$121.94	$135.26	$254.07
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $60.23 / $86.04 / $86.04	Professional	TC	$60.23	$86.04	$86.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.93 / $165.76 / $260.20	Professional		$93.93	$165.76	$260.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $59.17 / $107.41 / $180.29	Professional	TC	$59.17	$107.41	$180.29
United Facility/Professional Professional Modifier Low / Median / High Price $108.23 / $172.97 / $244.19	Professional		$108.23	$172.97	$244.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $62.80 / $96.44 / $167.16	Professional	TC	$62.80	$96.44	$167.16