Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $187.97 / $187.97 / $187.97	Facility	26	$187.97	$187.97	$187.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.73 / $106.40 / $114.50	Professional		$72.73	$106.40	$114.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $49.06 / $76.28 / $84.97	Professional	TC	$49.06	$76.28	$84.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.07 / $110.20 / $204.43	Professional		$100.07	$110.20	$204.43
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.41 / $76.30 / $89.18	Professional	TC	$53.41	$76.30	$89.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.02 / $136.05 / $199.05	Professional		$84.02	$136.05	$199.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.05 / $94.68 / $141.30	Professional	TC	$56.05	$94.68	$141.30
United Facility/Professional Professional Modifier Low / Median / High Price $68.33 / $111.19 / $168.04	Professional		$68.33	$111.19	$168.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.77 / $84.92 / $136.05	Professional	TC	$43.77	$84.92	$136.05