Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.18 / $13.18 / $13.18	Facility	26	$13.18	$13.18	$13.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $45.71 / $95.50	Professional		$36.31	$45.71	$95.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $15.14 / $32.36	Professional	26	$12.02	$15.14	$32.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $33.11 / $61.66	Professional	TC	$25.12	$33.11	$61.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $173.78 / $173.78	Professional		$112.20	$173.78	$173.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $53.70 / $53.70	Professional	26	$34.67	$53.70	$53.70
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $120.23 / $120.23	Professional	TC	$77.62	$120.23	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $70.79 / $112.20	Professional		$39.81	$70.79	$112.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $21.88 / $38.90	Professional	26	$14.45	$21.88	$38.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $45.71 / $77.62	Professional	TC	$25.70	$45.71	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $75.86 / $131.83	Professional		$40.74	$75.86	$131.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $26.30 / $42.66	Professional	26	$13.18	$26.30	$42.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $48.98 / $85.11	Professional	TC	$27.54	$48.98	$85.11