Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.56 / $146.44 / $182.42	Professional		$103.56	$146.44	$182.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.47 / $34.59 / $42.32	Professional	26	$28.47	$34.59	$42.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $68.95 / $112.34 / $144.10	Professional	TC	$68.95	$112.34	$144.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.18 / $161.54 / $190.62	Professional		$117.18	$161.54	$190.62
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.29 / $39.29 / $46.36	Professional	26	$39.29	$39.29	$46.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $88.68 / $122.25 / $144.26	Professional	TC	$88.68	$122.25	$144.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.27 / $82.87 / $186.69	Professional		$53.27	$82.87	$186.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.62 / $19.26 / $64.09	Professional	26	$17.62	$19.26	$64.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.01 / $58.96 / $144.85	Professional	TC	$34.01	$58.96	$144.85
United Facility/Professional Professional Modifier Low / Median / High Price $91.97 / $105.24 / $175.40	Professional		$91.97	$105.24	$175.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.18 / $30.69 / $44.07	Professional	26	$23.18	$30.69	$44.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.56 / $73.33 / $135.34	Professional	TC	$58.56	$73.33	$135.34