Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $124.86 / $168.56 / $168.56	Facility	26	$124.86	$168.56	$168.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.43 / $190.03 / $190.03	Professional		$122.43	$190.03	$190.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.00 / $65.16 / $65.16	Professional	TC	$42.00	$65.16	$65.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.00 / $145.19 / $171.34	Professional		$106.00	$145.19	$171.34
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.29 / $48.36 / $57.06	Professional	TC	$35.29	$48.36	$57.06
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 $106.00 / $176.27 / $463.86	Professional		$106.00	$176.27	$463.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.61 / $57.64 / $145.83	Professional	TC	$40.61	$57.64	$145.83
United Facility/Professional Professional Modifier Low / Median / High Price $114.50 / $150.06 / $231.19	Professional		$114.50	$150.06	$231.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.97 / $51.76 / $101.99	Professional	TC	$38.97	$51.76	$101.99