Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.36 / $162.50 / $209.69	Professional		$107.36	$162.50	$209.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.85 / $66.15 / $79.06	Professional	26	$55.85	$66.15	$79.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.76 / $86.11 / $144.51	Professional	TC	$50.76	$86.11	$144.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $171.00 / $210.00	Professional		$105.00	$171.00	$210.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $86.00 / $86.00 / $86.00	Professional	26	$86.00	$86.00	$86.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $85.00 / $85.00 / $85.00	Professional	TC	$85.00	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.38 / $200.07 / $275.66	Professional		$150.38	$200.07	$275.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.24 / $100.02 / $125.79	Professional	26	$62.24	$100.02	$125.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $77.26 / $100.05 / $160.71	Professional	TC	$77.26	$100.05	$160.71
United Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $260.02 / $570.91	Professional		$193.76	$260.02	$570.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $73.22 / $118.11 / $231.39	Professional	26	$73.22	$118.11	$231.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $95.75 / $145.43 / $366.30	Professional	TC	$95.75	$145.43	$366.30