Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.30 / $12.30 / $12.30	Facility	26	$12.30	$12.30	$12.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $52.48 / $97.72	Professional		$38.90	$52.48	$97.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $18.20 / $30.90	Professional	26	$12.02	$18.20	$30.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $38.90 / $69.18	Professional	TC	$28.18	$38.90	$69.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $186.21 / $186.21	Professional		$120.23	$186.21	$186.21
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $48.98 / $48.98	Professional	26	$32.36	$48.98	$48.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $138.04 / $138.04	Professional	TC	$87.10	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $75.86 / $117.49	Professional		$41.69	$75.86	$117.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $20.89 / $38.02	Professional	26	$13.80	$20.89	$38.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $54.95 / $85.11	Professional	TC	$27.54	$54.95	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $81.28 / $141.25	Professional		$42.66	$81.28	$141.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $23.99 / $40.74	Professional	26	$12.59	$23.99	$40.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $56.23 / $97.72	Professional	TC	$30.20	$56.23	$97.72