Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $263.03 / $263.03	Professional		$165.96	$263.03	$263.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $107.15 / $107.15	Professional	26	$107.15	$107.15	$107.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $158.49 / $158.49	Professional	TC	$158.49	$158.49	$158.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $467.74	Professional		$194.98	$194.98	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $269.15 / $676.08	Professional		$58.88	$269.15	$676.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $107.15 / $295.12	Professional	26	$32.36	$107.15	$295.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $158.49 / $380.19	Professional	TC	$26.30	$158.49	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $316.23 / $354.81	Professional		$95.50	$316.23	$354.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $138.04 / $165.96	Professional	26	$40.74	$138.04	$165.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $165.96 / $190.55	Professional	TC	$50.12	$165.96	$190.55