Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $165.96 / $165.96 / $165.96	Facility	TC	$165.96	$165.96	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $363.08 / $501.19	Professional		$302.00	$363.08	$501.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $141.25 / $190.55 / $660.69	Professional	26	$141.25	$190.55	$660.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $186.21 / $295.12	Professional	TC	$147.91	$186.21	$295.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $398.11 / $467.74	Professional		$363.08	$398.11	$467.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $177.83 / $213.80	Professional	26	$107.15	$177.83	$213.80
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $218.78 / $257.04	Professional	TC	$199.53	$218.78	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $363.08	Professional		$323.59	$323.59	$363.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $154.88 / $154.88 / $245.47	Professional	26	$154.88	$154.88	$245.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $173.78 / $173.78	Professional	TC	$173.78	$173.78	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $346.74 / $630.96	Professional		$194.98	$346.74	$630.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $147.91 / $204.17	Professional	26	$107.15	$147.91	$204.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $162.18 / $407.38	Professional	TC	$87.10	$162.18	$407.38