Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.18 / $14.18 / $14.46	Facility	26	$14.18	$14.18	$14.46
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $30.03 / $30.03 / $31.60	Facility	TC	$30.03	$30.03	$31.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.06 / $38.19 / $54.48	Professional		$35.06	$38.19	$54.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.87 / $14.44 / $17.23	Professional	26	$11.87	$14.44	$17.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.19 / $25.64 / $37.25	Professional	TC	$23.19	$25.64	$37.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $195.00 / $195.00	Professional		$119.00	$195.00	$195.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.00 / $62.00 / $62.00	Professional	26	$38.00	$62.00	$62.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $81.00 / $133.00 / $133.00	Professional	TC	$81.00	$133.00	$133.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.70 / $63.98 / $108.58	Professional		$43.70	$63.98	$108.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.39 / $22.76 / $42.38	Professional	26	$16.39	$22.76	$42.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.96 / $37.25 / $66.20	Professional	TC	$25.96	$37.25	$66.20
United Facility/Professional Professional Modifier Low / Median / High Price $40.09 / $79.84 / $129.80	Professional		$40.09	$79.84	$129.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.63 / $29.15 / $50.60	Professional	26	$15.63	$29.15	$50.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.46 / $55.72 / $86.61	Professional	TC	$24.46	$55.72	$86.61