Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.27 / $31.27 / $37.88	Facility	26	$31.27	$31.27	$37.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.67 / $160.36 / $251.08	Professional		$116.67	$160.36	$251.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $96.46 / $126.40 / $202.77	Professional	TC	$96.46	$126.40	$202.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.61 / $203.45 / $238.88	Professional		$170.61	$203.45	$238.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $136.87 / $171.36 / $197.29	Professional	TC	$136.87	$171.36	$197.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.42 / $177.07 / $259.52	Professional		$122.42	$177.07	$259.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $98.10 / $143.30 / $215.49	Professional	TC	$98.10	$143.30	$215.49
United Facility/Professional Professional Modifier Low / Median / High Price $103.91 / $139.22 / $240.34	Professional		$103.91	$139.22	$240.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $79.81 / $112.93 / $203.63	Professional	TC	$79.81	$112.93	$203.63