Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $43.65 / $43.65	Professional	26	$43.65	$43.65	$43.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $125.89 / $125.89	Professional	TC	$125.89	$125.89	$125.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $363.08	Professional		$138.04	$138.04	$363.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $36.31 / $87.10	Professional	26	$36.31	$36.31	$87.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $114.82 / $275.42	Professional	TC	$114.82	$114.82	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $181.97 / $512.86	Professional		$32.36	$181.97	$512.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $44.67 / $123.03	Professional	26	$13.80	$44.67	$123.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $138.04 / $389.05	Professional	TC	$18.62	$138.04	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $190.55 / $234.42	Professional		$56.23	$190.55	$234.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $57.54 / $67.61	Professional	26	$16.60	$57.54	$67.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $128.82 / $177.83	Professional	TC	$38.02	$128.82	$177.83