Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $20.89 / $57.54	Facility	26	$12.02	$20.89	$57.54
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $30.90 / $77.62 / $331.13	Facility	TC	$30.90	$77.62	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $48.98 / $134.90	Professional		$35.48	$48.98	$134.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $18.20 / $60.26	Professional	26	$10.96	$18.20	$60.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $32.36 / $74.13	Professional	TC	$22.91	$32.36	$74.13
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $18.62 / $18.62 / $18.62	Facility	26	$18.62	$18.62	$18.62
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $29.51 / $29.51 / $29.51	Facility	TC	$29.51	$29.51	$29.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $56.23 / $102.33	Professional		$40.74	$56.23	$102.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $20.42 / $35.48	Professional	26	$14.45	$20.42	$35.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $36.31 / $67.61	Professional	TC	$25.70	$36.31	$67.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.24 / $17.38 / $42.66	Facility	26	$3.24	$17.38	$42.66
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $7.24 / $38.90 / $104.71	Facility	TC	$7.24	$38.90	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $61.66 / $123.03	Professional		$36.31	$61.66	$123.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $20.89 / $38.90	Professional	26	$11.48	$20.89	$38.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $41.69 / $85.11	Professional	TC	$24.55	$41.69	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $50.12 / $91.20	Professional		$37.15	$50.12	$91.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $16.98 / $30.90	Professional	26	$12.30	$16.98	$30.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $33.11 / $60.26	Professional	TC	$24.55	$33.11	$60.26