Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $19.95 / $19.95	Facility	26	$19.95	$19.95	$19.95
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $31.62 / $38.90 / $40.74	Facility	TC	$31.62	$38.90	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $43.65 / $93.33	Professional		$33.11	$43.65	$93.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $15.14 / $33.88	Professional	26	$12.02	$15.14	$33.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $28.84 / $48.98	Professional	TC	$19.95	$28.84	$48.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $61.66 / $79.43	Professional		$43.65	$61.66	$79.43
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $33.88 / $43.65	Professional	26	$23.44	$33.88	$43.65
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $28.18 / $36.31	Professional	TC	$19.95	$28.18	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $48.98 / $93.33	Professional		$32.36	$48.98	$93.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $20.42 / $38.02	Professional	26	$14.45	$20.42	$38.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $32.36 / $64.57	Professional	TC	$22.91	$32.36	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $42.66 / $63.10	Professional		$32.36	$42.66	$63.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $15.85 / $23.99	Professional	26	$12.30	$15.85	$23.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $26.30 / $37.15	Professional	TC	$19.50	$26.30	$37.15