Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.90 / $30.90 / $30.90	Facility	26	$30.90	$30.90	$30.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $131.83 / $213.80	Professional		$87.10	$131.83	$213.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $107.15 / $177.83	Professional	TC	$72.44	$107.15	$177.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $128.82 / $165.96	Professional		$91.20	$128.82	$165.96
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $107.15 / $134.90	Professional	TC	$74.13	$107.15	$134.90
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.54 / $27.54 / $27.54	Facility	26	$27.54	$27.54	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $128.82 / $288.40	Professional		$81.28	$128.82	$288.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $112.20 / $257.04	Professional	TC	$77.62	$112.20	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $162.18	Professional		$85.11	$120.23	$162.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $95.50 / $128.82	Professional	TC	$67.61	$95.50	$128.82