Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.61 / $15.38 / $24.89	Facility	26	$12.61	$15.38	$24.89
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $27.77 / $44.86 / $128.09	Facility	TC	$27.77	$44.86	$128.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.64 / $39.65 / $70.51	Professional		$34.64	$39.65	$70.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.23 / $13.17 / $20.35	Professional	26	$11.23	$13.17	$20.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.75 / $26.32 / $49.01	Professional	TC	$22.75	$26.32	$49.01
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $14.57 / $14.57 / $14.57	Facility	26	$14.57	$14.57	$14.57
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $25.78 / $25.78 / $25.78	Facility	TC	$25.78	$25.78	$25.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.51 / $47.47 / $77.69	Professional		$36.51	$47.47	$77.69
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.62 / $16.18 / $26.31	Professional	26	$12.62	$16.18	$26.31
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.63 / $32.79 / $53.64	Professional	TC	$24.63	$32.79	$53.64
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.00 / $15.00 / $15.00	Facility	26	$15.00	$15.00	$15.00
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $32.79 / $32.79 / $32.79	Facility	TC	$32.79	$32.79	$32.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.99 / $53.33 / $89.20	Professional		$35.99	$53.33	$89.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.87 / $19.01 / $30.46	Professional	26	$11.87	$19.01	$30.46
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.78 / $35.02 / $60.53	Professional	TC	$23.78	$35.02	$60.53
United Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $45.45 / $78.87	Professional		$36.79	$45.45	$78.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.20 / $16.68 / $31.59	Professional	26	$13.20	$16.68	$31.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.78 / $30.53 / $52.80	Professional	TC	$23.78	$30.53	$52.80