Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.56 / $12.56 / $12.82	Facility	26	$12.56	$12.56	$12.82
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $28.09 / $28.09 / $29.56	Facility	TC	$28.09	$28.09	$29.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.96 / $35.39 / $50.88	Professional		$31.96	$35.39	$50.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.26 / $12.53 / $14.91	Professional	26	$10.26	$12.53	$14.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.70 / $24.01 / $35.97	Professional	TC	$21.70	$24.01	$35.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $178.00 / $178.00	Professional		$108.00	$178.00	$178.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.00 / $55.00 / $55.00	Professional	26	$33.00	$55.00	$55.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $75.00 / $123.00 / $123.00	Professional	TC	$75.00	$123.00	$123.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.67 / $59.46 / $101.25	Professional		$40.67	$59.46	$101.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.14 / $20.63 / $36.88	Professional	26	$14.14	$20.63	$36.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.24 / $36.21 / $64.37	Professional	TC	$25.24	$36.21	$64.37
United Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $73.06 / $121.00	Professional		$37.36	$73.06	$121.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.59 / $24.71 / $44.00	Professional	26	$13.59	$24.71	$44.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.78 / $48.51 / $77.00	Professional	TC	$23.78	$48.51	$77.00