Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.89 / $12.89 / $13.14	Facility	26	$12.89	$12.89	$13.14
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $30.36 / $30.36 / $31.94	Facility	TC	$30.36	$30.36	$31.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.97 / $42.67 / $53.80	Professional		$33.97	$42.67	$53.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.78 / $14.49 / $16.14	Professional	26	$10.78	$14.49	$16.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.19 / $28.17 / $38.52	Professional	TC	$23.19	$28.17	$38.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.00 / $188.00 / $188.00	Professional		$114.00	$188.00	$188.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.00 / $56.00 / $56.00	Professional	26	$34.00	$56.00	$56.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $80.00 / $132.00 / $132.00	Professional	TC	$80.00	$132.00	$132.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.33 / $67.88 / $126.58	Professional		$46.33	$67.88	$126.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.92 / $23.58 / $45.13	Professional	26	$15.92	$23.58	$45.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.47 / $40.81 / $77.31	Professional	TC	$28.47	$40.81	$77.31
United Facility/Professional Professional Modifier Low / Median / High Price $47.57 / $78.59 / $137.50	Professional		$47.57	$78.59	$137.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.64 / $27.09 / $50.60	Professional	26	$16.64	$27.09	$50.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.92 / $52.60 / $89.85	Professional	TC	$30.92	$52.60	$89.85