Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $147.91 / $389.05	Professional		$107.15	$147.91	$389.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $47.86 / $138.04	Professional	26	$37.15	$47.86	$138.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $104.71 / $245.47	Professional	TC	$63.10	$104.71	$245.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $117.49 / $263.03	Professional		$89.13	$117.49	$263.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $40.74 / $70.79	Professional	26	$30.20	$40.74	$70.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $63.10 / $131.83	Professional	TC	$52.48	$63.10	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $223.87 / $489.78	Professional		$131.83	$223.87	$489.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $77.62 / $102.33	Professional	26	$45.71	$77.62	$102.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $162.18 / $407.38	Professional	TC	$83.18	$162.18	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $151.36 / $275.42	Professional		$117.49	$151.36	$275.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $60.26 / $93.33	Professional	26	$46.77	$60.26	$93.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $104.71 / $177.83	Professional	TC	$69.18	$104.71	$177.83