Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $125.89 / $125.89	Facility	26	$125.89	$125.89	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $151.36 / $323.59	Professional		$95.50	$151.36	$323.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $53.70 / $117.49	Professional	TC	$33.11	$53.70	$117.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $144.54 / $169.82	Professional		$102.33	$144.54	$169.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $47.86 / $57.54	Professional	TC	$33.88	$47.86	$57.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.82 / $114.82 / $114.82	Facility	26	$114.82	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $177.83 / $295.12	Professional		$107.15	$177.83	$295.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $57.54 / $100.00	Professional	TC	$40.74	$57.54	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $151.36 / $245.47	Professional		$114.82	$151.36	$245.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $52.48 / $102.33	Professional	TC	$38.90	$52.48	$102.33