Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $489.78 / $489.78 / $489.78	Facility	26	$489.78	$489.78	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $141.25 / $588.84	Professional		$100.00	$141.25	$588.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $53.70 / $234.42	Professional	TC	$34.67	$53.70	$234.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $275.42	Professional		$123.03	$173.78	$275.42
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $48.98 / $69.18	Professional	TC	$45.71	$48.98	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $302.00 / $407.38	Professional		$181.97	$302.00	$407.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $107.15 / $154.88	Professional	TC	$67.61	$107.15	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $190.55 / $275.42	Professional		$147.91	$190.55	$275.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $74.13 / $128.82	Professional	TC	$52.48	$74.13	$128.82