Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.29 / $17.71 / $27.98	Facility	26	$14.29	$17.71	$27.98
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $29.15 / $52.89 / $130.78	Facility	TC	$29.15	$52.89	$130.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.88 / $43.01 / $76.59	Professional		$36.88	$43.01	$76.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.65 / $15.17 / $22.96	Professional	26	$12.65	$15.17	$22.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.51 / $28.01 / $47.07	Professional	TC	$23.51	$28.01	$47.07
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $16.72 / $16.72 / $16.72	Facility	26	$16.72	$16.72	$16.72
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $26.51 / $26.51 / $26.51	Facility	TC	$26.51	$26.51	$26.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.32 / $51.11 / $85.10	Professional		$39.32	$51.11	$85.10
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.23 / $19.35 / $30.17	Professional	26	$14.23	$19.35	$30.17
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.95 / $35.03 / $57.03	Professional	TC	$25.95	$35.03	$57.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.60 / $16.60 / $16.60	Facility	26	$16.60	$16.60	$16.60
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $35.04 / $35.04 / $35.04	Facility	TC	$35.04	$35.04	$35.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $57.28 / $97.26	Professional		$38.79	$57.28	$97.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.63 / $21.90 / $34.56	Professional	26	$13.63	$21.90	$34.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.83 / $36.04 / $63.19	Professional	TC	$24.83	$36.04	$63.19
United Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $51.81 / $85.86	Professional		$39.65	$51.81	$85.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.27 / $18.87 / $32.58	Professional	26	$15.27	$18.87	$32.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.36 / $31.12 / $56.89	Professional	TC	$24.36	$31.12	$56.89