Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $141.25 / $141.25	Professional		$120.23	$141.25	$141.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $93.33 / $93.33	Professional	26	$79.43	$93.33	$93.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $47.86 / $47.86	Professional	TC	$40.74	$47.86	$47.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $288.40	Professional		$120.23	$120.23	$288.40
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $77.62 / $186.21	Professional	26	$77.62	$77.62	$186.21
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $42.66 / $100.00	Professional	TC	$42.66	$42.66	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $144.54 / $398.11	Professional		$41.69	$144.54	$398.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $95.50 / $263.03	Professional	26	$28.84	$95.50	$263.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.18 / $51.29 / $138.04	Professional	TC	$13.18	$51.29	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $181.97 / $208.93	Professional		$54.95	$181.97	$208.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $123.03 / $147.91	Professional	26	$35.48	$123.03	$147.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $53.70 / $64.57	Professional	TC	$15.85	$53.70	$64.57