Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $90.47 / $119.49 / $211.96	Facility	26	$90.47	$119.49	$211.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.20 / $148.43 / $259.14	Professional		$124.20	$148.43	$259.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.83 / $54.32 / $92.77	Professional	TC	$42.83	$54.32	$92.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.03 / $195.72 / $306.52	Professional		$141.03	$195.72	$306.52
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $49.39 / $69.26 / $121.00	Professional	TC	$49.39	$69.26	$121.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.35 / $114.35 / $114.35	Facility	26	$114.35	$114.35	$114.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.41 / $213.94 / $359.77	Professional		$149.41	$213.94	$359.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.83 / $80.61 / $141.12	Professional	TC	$49.83	$80.61	$141.12
United Facility/Professional Professional Modifier Low / Median / High Price $132.82 / $191.09 / $323.00	Professional		$132.82	$191.09	$323.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.65 / $66.67 / $114.98	Professional	TC	$45.65	$66.67	$114.98