Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.38 / $98.38 / $98.38	Facility	26	$98.38	$98.38	$98.38
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $174.05 / $174.05 / $174.05	Facility	TC	$174.05	$174.05	$174.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $40.96 / $45.38	Professional		$33.86	$40.96	$45.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.50 / $14.49 / $16.32	Professional	26	$12.50	$14.49	$16.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.36 / $25.57 / $30.21	Professional	TC	$21.36	$25.57	$30.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.34 / $57.23 / $80.86	Professional		$51.34	$57.23	$80.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.77 / $18.23 / $31.22	Professional	26	$12.77	$18.23	$31.22
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.29 / $38.99 / $49.63	Professional	TC	$27.29	$38.99	$49.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.16 / $69.80 / $93.37	Professional		$41.16	$69.80	$93.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.68 / $21.97 / $32.93	Professional	26	$12.68	$21.97	$32.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.61 / $47.83 / $65.40	Professional	TC	$26.61	$47.83	$65.40
United Facility/Professional Professional Modifier Low / Median / High Price $38.10 / $53.17 / $87.16	Professional		$38.10	$53.17	$87.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.60 / $20.54 / $30.86	Professional	26	$14.60	$20.54	$30.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $36.32 / $69.53	Professional	TC	$23.99	$36.32	$69.53