Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $64.57 / $64.57	Facility	26	$64.57	$64.57	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $50.12 / $112.20	Professional		$28.84	$50.12	$112.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $22.39 / $44.67	Professional	26	$10.00	$22.39	$44.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $30.20 / $74.13	Professional	TC	$18.62	$30.20	$74.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $54.95 / $87.10	Professional		$40.74	$54.95	$87.10
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $16.98 / $26.92	Professional	26	$12.02	$16.98	$26.92
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $38.02 / $50.12	Professional	TC	$26.30	$38.02	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $66.07 / $91.20	Professional		$33.88	$66.07	$91.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $25.12 / $30.90	Professional	26	$11.75	$25.12	$30.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $50.12 / $72.44	Professional	TC	$22.39	$50.12	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $51.29 / $74.13	Professional		$38.02	$51.29	$74.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $16.60 / $26.30	Professional	26	$12.30	$16.60	$26.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $35.48 / $58.88	Professional	TC	$26.30	$35.48	$58.88