Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.81 / $51.29 / $70.79	Facility	26	$39.81	$51.29	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $194.98 / $309.03	Professional		$173.78	$194.98	$309.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $158.49 / $251.19	Professional	TC	$134.90	$158.49	$251.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $245.47 / $389.05	Professional		$229.09	$245.47	$389.05
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $186.21 / $295.12	Professional	TC	$181.97	$186.21	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $302.00 / $524.81	Professional		$245.47	$302.00	$524.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $239.88 / $426.58	Professional	TC	$194.98	$239.88	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $245.47 / $407.38	Professional		$199.53	$245.47	$407.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $199.53 / $323.59	Professional	TC	$162.18	$199.53	$323.59