Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $145.25 / $145.25 / $145.25	Facility	26	$145.25	$145.25	$145.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.68 / $115.79 / $117.01	Professional		$84.68	$115.79	$117.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.09 / $91.68 / $94.28	Professional	TC	$67.09	$91.68	$94.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.38 / $174.60 / $227.26	Professional		$159.38	$174.60	$227.26
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $102.23 / $146.04 / $146.04	Professional	TC	$102.23	$146.04	$146.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.20 / $216.68 / $267.38	Professional		$108.20	$216.68	$267.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $92.85 / $182.77 / $271.20	Professional	TC	$92.85	$182.77	$271.20
United Facility/Professional Professional Modifier Low / Median / High Price $96.98 / $166.12 / $230.89	Professional		$96.98	$166.12	$230.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $77.28 / $135.35 / $267.26	Professional	TC	$77.28	$135.35	$267.26