Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.21 / $13.21 / $13.47	Facility	26	$13.21	$13.21	$13.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.26 / $36.88 / $52.47	Professional		$33.26	$36.88	$52.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.06 / $11.69 / $15.64	Professional	26	$11.06	$11.69	$15.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.20 / $25.37 / $36.82	Professional	TC	$22.20	$25.37	$36.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.00 / $186.00 / $186.00	Professional		$113.00	$186.00	$186.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.00 / $58.00 / $58.00	Professional	26	$35.00	$58.00	$58.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $78.00 / $128.00 / $128.00	Professional	TC	$78.00	$128.00	$128.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.95 / $58.43 / $104.56	Professional		$39.95	$58.43	$104.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.36 / $21.70 / $35.96	Professional	26	$14.36	$21.70	$35.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.60 / $36.68 / $65.29	Professional	TC	$25.60	$36.68	$65.29
United Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $76.69 / $131.01	Professional		$41.11	$76.69	$131.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.25 / $26.62 / $42.90	Professional	26	$13.25	$26.62	$42.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.86 / $49.77 / $85.53	Professional	TC	$27.86	$49.77	$85.53