Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.38 / $83.38 / $83.38	Facility	26	$83.38	$83.38	$83.38
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $167.50 / $167.50 / $167.50	Facility	TC	$167.50	$167.50	$167.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.63 / $38.24 / $74.61	Professional		$31.63	$38.24	$74.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.86 / $12.58 / $14.15	Professional	26	$10.86	$12.58	$14.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.77 / $24.85 / $28.23	Professional	TC	$20.77	$24.85	$28.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.89 / $52.63 / $75.40	Professional		$46.89	$52.63	$75.40
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.31 / $16.14 / $27.16	Professional	26	$11.31	$16.14	$27.16
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.54 / $36.47 / $48.24	Professional	TC	$25.54	$36.47	$48.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.89 / $63.74 / $85.53	Professional		$37.89	$63.74	$85.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $18.96 / $27.90	Professional	26	$11.48	$18.96	$27.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.91 / $44.78 / $61.28	Professional	TC	$24.91	$44.78	$61.28
United Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $50.03 / $94.32	Professional		$35.47	$50.03	$94.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.69 / $17.39 / $29.28	Professional	26	$12.69	$17.39	$29.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.01 / $34.96 / $65.04	Professional	TC	$18.01	$34.96	$65.04