Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $144.54 / $275.42	Professional		$107.15	$144.54	$275.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $89.13 / $588.84	Professional	26	$23.99	$89.13	$588.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $112.20 / $204.17	Professional	TC	$81.28	$112.20	$204.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $162.18 / $190.55	Professional		$117.49	$162.18	$190.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $38.90 / $46.77	Professional	26	$38.90	$38.90	$46.77
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $123.03 / $144.54	Professional	TC	$89.13	$123.03	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $79.43 / $194.98	Professional		$53.70	$79.43	$194.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $19.05 / $69.18	Professional	26	$17.78	$19.05	$69.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $57.54 / $123.03	Professional	TC	$33.88	$57.54	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $104.71 / $173.78	Professional		$91.20	$104.71	$173.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $32.36 / $43.65	Professional	26	$23.44	$32.36	$43.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $81.28 / $134.90	Professional	TC	$58.88	$81.28	$134.90