Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.45 / $120.72 / $156.29	Facility	26	$109.45	$120.72	$156.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.96 / $177.24 / $236.17	Professional		$155.96	$177.24	$236.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.00 / $59.28 / $92.77	Professional	TC	$54.00	$59.28	$92.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.72 / $203.01 / $254.94	Professional		$168.72	$203.01	$254.94
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $60.31 / $63.83 / $87.32	Professional	TC	$60.31	$63.83	$87.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.82 / $148.44 / $288.02	Professional		$87.82	$148.44	$288.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.55 / $50.26 / $107.44	Professional	TC	$30.55	$50.26	$107.44
United Facility/Professional Professional Modifier Low / Median / High Price $115.28 / $172.18 / $312.00	Professional		$115.28	$172.18	$312.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.76 / $55.14 / $103.72	Professional	TC	$36.76	$55.14	$103.72