Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $89.13 / $89.13	Facility	26	$89.13	$89.13	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $151.36 / $363.08	Professional		$120.23	$151.36	$363.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $56.23 / $128.82	Professional	TC	$43.65	$56.23	$128.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $562.34 / $562.34	Professional		$295.12	$562.34	$562.34
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $204.17 / $204.17	Professional	TC	$109.65	$204.17	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $251.19 / $537.03	Professional		$158.49	$251.19	$537.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $85.11 / $181.97	Professional	TC	$53.70	$85.11	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $257.04 / $489.78	Professional		$138.04	$257.04	$489.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $97.72 / $177.83	Professional	TC	$50.12	$97.72	$177.83