Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.28 / $81.28 / $81.28	Facility	26	$81.28	$81.28	$81.28
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $154.88 / $154.88 / $154.88	Facility	TC	$154.88	$154.88	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $51.29 / $131.83	Professional		$34.67	$51.29	$131.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $28.84 / $58.88	Professional	26	$12.02	$28.84	$58.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $32.36 / $77.62	Professional	TC	$21.88	$32.36	$77.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $56.23 / $100.00	Professional		$41.69	$56.23	$100.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $16.60 / $33.88	Professional	26	$11.48	$16.60	$33.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $39.81 / $52.48	Professional	TC	$27.54	$39.81	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $81.28 / $104.71	Professional		$38.02	$81.28	$104.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $25.12 / $36.31	Professional	26	$12.59	$25.12	$36.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $58.88 / $74.13	Professional	TC	$25.70	$58.88	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $54.95 / $79.43	Professional		$42.66	$54.95	$79.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $17.78 / $26.30	Professional	26	$14.79	$17.78	$26.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $37.15 / $61.66	Professional	TC	$30.20	$37.15	$61.66