Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.42 / $42.66 / $104.71	Facility	26	$20.42	$42.66	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $128.82 / $245.47	Professional		$93.33	$128.82	$245.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $107.15 / $208.93	Professional	TC	$77.62	$107.15	$208.93
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $26.30 / $26.30 / $26.30	Facility	26	$26.30	$26.30	$26.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $138.04 / $275.42	Professional		$95.50	$138.04	$275.42
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $107.15 / $223.87	Professional	TC	$69.18	$107.15	$223.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.62 / $30.20 / $72.44	Facility	26	$5.62	$30.20	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $158.49 / $338.84	Professional		$97.72	$158.49	$338.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $131.83 / $302.00	Professional	TC	$77.62	$131.83	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $131.83 / $257.04	Professional		$95.50	$131.83	$257.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $107.15 / $208.93	Professional	TC	$74.13	$107.15	$208.93