Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $38.90 / $38.90	Professional	26	$38.90	$38.90	$38.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $89.13 / $89.13	Professional	TC	$89.13	$89.13	$89.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $213.80	Professional		$89.13	$89.13	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $128.82 / $316.23	Professional		$23.44	$128.82	$316.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $38.90 / $107.15	Professional	26	$11.48	$38.90	$107.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $91.20 / $208.93	Professional	TC	$12.02	$91.20	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $138.04 / $158.49	Professional		$41.69	$138.04	$158.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $50.12 / $58.88	Professional	26	$14.45	$50.12	$58.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $87.10 / $104.71	Professional	TC	$25.70	$87.10	$104.71