Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.28 / $18.00 / $30.67	Facility	26	$13.28	$18.00	$30.67
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $30.94 / $59.99 / $220.36	Facility	TC	$30.94	$59.99	$220.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.81 / $47.25 / $79.50	Professional		$37.81	$47.25	$79.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.97 / $15.33 / $36.47	Professional	26	$11.97	$15.33	$36.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.97 / $31.62 / $54.21	Professional	TC	$25.97	$31.62	$54.21
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $18.59 / $18.59 / $18.59	Facility	26	$18.59	$18.59	$18.59
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $29.21 / $29.21 / $29.21	Facility	TC	$29.21	$29.21	$29.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.18 / $53.08 / $91.61	Professional		$43.18	$53.08	$91.61
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.02 / $19.15 / $30.32	Professional	26	$14.02	$19.15	$30.32
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.00 / $35.39 / $59.75	Professional	TC	$28.00	$35.39	$59.75
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.41 / $15.41 / $15.41	Facility	26	$15.41	$15.41	$15.41
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $35.04 / $35.04 / $35.04	Facility	TC	$35.04	$35.04	$35.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.47 / $61.45 / $101.34	Professional		$40.47	$61.45	$101.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.26 / $20.92 / $35.11	Professional	26	$13.26	$20.92	$35.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.45 / $41.03 / $68.48	Professional	TC	$27.45	$41.03	$68.48
United Facility/Professional Professional Modifier Low / Median / High Price $41.18 / $53.62 / $89.50	Professional		$41.18	$53.62	$89.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.06 / $18.00 / $31.16	Professional	26	$14.06	$18.00	$31.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.67 / $34.31 / $60.29	Professional	TC	$27.67	$34.31	$60.29