Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $57.54 / $57.54	Facility	26	$57.54	$57.54	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $208.93 / $309.03	Professional		$151.36	$208.93	$309.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $165.96 / $245.47	Professional	TC	$123.03	$165.96	$245.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $218.78 / $257.04	Professional		$151.36	$218.78	$257.04
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $173.78 / $204.17	Professional	TC	$120.23	$173.78	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $316.23 / $741.31	Professional		$223.87	$316.23	$741.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $245.47 / $588.84	Professional	TC	$177.83	$245.47	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $208.93 / $331.13	Professional		$169.82	$208.93	$331.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $162.18 / $275.42	Professional	TC	$134.90	$162.18	$275.42