Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $120.23 / $120.23 / $120.23	Facility	26	$120.23	$120.23	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $117.49 / $363.08	Professional		$83.18	$117.49	$363.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $93.33 / $309.03	Professional	TC	$67.61	$93.33	$309.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $173.78 / $239.88	Professional		$131.83	$173.78	$239.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $141.25 / $199.53	Professional	TC	$102.33	$141.25	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $218.78 / $331.13	Professional		$97.72	$218.78	$331.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $177.83 / $275.42	Professional	TC	$75.86	$177.83	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $144.54 / $251.19	Professional		$87.10	$144.54	$251.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $128.82 / $245.47	Professional	TC	$69.18	$128.82	$245.47