Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.88 / $22.39 / $61.66	Facility	26	$12.88	$22.39	$61.66
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $30.20 / $74.13 / $213.80	Facility	TC	$30.20	$74.13	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $44.67 / $134.90	Professional		$33.88	$44.67	$134.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $15.14 / $48.98	Professional	26	$12.02	$15.14	$48.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $28.84 / $58.88	Professional	TC	$20.89	$28.84	$58.88
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $16.60 / $16.60 / $16.60	Facility	26	$16.60	$16.60	$16.60
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $26.30 / $26.30 / $26.30	Facility	TC	$26.30	$26.30	$26.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $51.29 / $104.71	Professional		$38.02	$51.29	$104.71
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $19.05 / $38.02	Professional	26	$12.59	$19.05	$38.02
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $32.36 / $67.61	Professional	TC	$23.44	$32.36	$67.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.63 / $19.05 / $45.71	Facility	26	$3.63	$19.05	$45.71
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $7.24 / $38.90 / $104.71	Facility	TC	$7.24	$38.90	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $57.54 / $114.82	Professional		$35.48	$57.54	$114.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $21.38 / $41.69	Professional	26	$12.30	$21.38	$41.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $37.15 / $79.43	Professional	TC	$22.91	$37.15	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $46.77 / $89.13	Professional		$35.48	$46.77	$89.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $17.38 / $32.36	Professional	26	$13.18	$17.38	$32.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $28.84 / $57.54	Professional	TC	$21.88	$28.84	$57.54