Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.55 / $153.00 / $172.42	Professional		$122.55	$153.00	$172.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.52 / $89.52 / $145.90	Professional	26	$89.52	$89.52	$145.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $82.90 / $82.90 / $82.90	Professional	TC	$82.90	$82.90	$82.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.43 / $297.00 / $469.00	Professional		$195.43	$297.00	$469.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.92 / $266.67 / $676.15	Professional		$75.92	$266.67	$676.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.15 / $107.31 / $297.63	Professional	26	$36.15	$107.31	$297.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.77 / $159.36 / $378.52	Professional	TC	$39.77	$159.36	$378.52
United Facility/Professional Professional Modifier Low / Median / High Price $94.41 / $314.70 / $354.04	Professional		$94.41	$314.70	$354.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.39 / $137.58 / $166.46	Professional	26	$44.39	$137.58	$166.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.02 / $166.74 / $188.42	Professional	TC	$50.02	$166.74	$188.42