Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.22 / $19.05 / $52.48	Facility	26	$11.22	$19.05	$52.48
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $28.18 / $69.18 / $186.21	Facility	TC	$28.18	$69.18	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $41.69 / $104.71	Professional		$30.90	$41.69	$104.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $14.13 / $38.90	Professional	26	$10.00	$14.13	$38.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $27.54 / $56.23	Professional	TC	$19.95	$27.54	$56.23
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $14.45 / $14.45 / $14.45	Facility	26	$14.45	$14.45	$14.45
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $25.70 / $25.70 / $25.70	Facility	TC	$25.70	$25.70	$25.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $46.77 / $95.50	Professional		$35.48	$46.77	$95.50
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $16.22 / $33.11	Professional	26	$10.96	$16.22	$33.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $30.90 / $64.57	Professional	TC	$22.39	$30.90	$64.57
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.16 / $16.98 / $41.69	Facility	26	$3.16	$16.98	$41.69
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $6.76 / $36.31 / $97.72	Facility	TC	$6.76	$36.31	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $53.70 / $107.15	Professional		$32.36	$53.70	$107.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $18.62 / $36.31	Professional	26	$10.72	$18.62	$36.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $36.31 / $75.86	Professional	TC	$21.88	$36.31	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $42.66 / $81.28	Professional		$32.36	$42.66	$81.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $15.14 / $28.18	Professional	26	$11.22	$15.14	$28.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $27.54 / $54.95	Professional	TC	$21.38	$27.54	$54.95