Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.69 / $87.69 / $87.69	Facility	26	$87.69	$87.69	$87.69
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $180.55 / $180.55 / $180.55	Facility	TC	$180.55	$180.55	$180.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $47.26 / $50.79	Professional		$35.15	$47.26	$50.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.68 / $15.34 / $20.68	Professional	26	$12.68	$15.34	$20.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.28 / $31.13 / $34.53	Professional	TC	$22.28	$31.13	$34.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.87 / $55.99 / $95.31	Professional		$49.87	$55.99	$95.31
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.59 / $16.55 / $32.19	Professional	26	$11.59	$16.55	$32.19
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.59 / $39.40 / $40.20	Professional	TC	$27.59	$39.40	$40.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.59 / $67.80 / $97.44	Professional		$40.59	$67.80	$97.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.67 / $19.97 / $31.32	Professional	26	$12.67	$19.97	$31.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.61 / $48.24 / $71.31	Professional	TC	$26.61	$48.24	$71.31
United Facility/Professional Professional Modifier Low / Median / High Price $43.02 / $55.98 / $85.25	Professional		$43.02	$55.98	$85.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.80 / $18.30 / $28.78	Professional	26	$14.80	$18.30	$28.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $37.68 / $70.27	Professional	TC	$28.18	$37.68	$70.27