Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.57 / $221.57 / $267.57	Professional		$195.57	$221.57	$267.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.57 / $116.75 / $157.97	Professional	26	$102.57	$116.75	$157.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $92.99 / $104.81 / $112.17	Professional	TC	$92.99	$104.81	$112.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.72 / $215.42 / $285.12	Professional		$113.72	$215.42	$285.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $128.88 / $151.62 / $189.53	Professional	26	$128.88	$151.62	$189.53
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $86.54 / $101.82 / $127.27	Professional	TC	$86.54	$101.82	$127.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.16 / $242.88 / $392.90	Professional		$114.16	$242.88	$392.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.28 / $145.66 / $242.07	Professional	26	$61.28	$145.66	$242.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $55.66 / $93.57 / $167.44	Professional	TC	$55.66	$93.57	$167.44
United Facility/Professional Professional Modifier Low / Median / High Price $128.55 / $197.74 / $312.47	Professional		$128.55	$197.74	$312.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $71.89 / $120.50 / $210.35	Professional	26	$71.89	$120.50	$210.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $54.50 / $99.35 / $138.41	Professional	TC	$54.50	$99.35	$138.41