Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.56 / $12.56 / $12.82	Facility	26	$12.56	$12.56	$12.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $47.71 / $63.63	Professional		$40.11	$47.71	$63.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.11 / $17.68 / $31.72	Professional	26	$11.11	$17.68	$31.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.61 / $34.09 / $79.05	Professional	TC	$29.61	$34.09	$79.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.00 / $225.00 / $225.00	Professional		$136.00	$225.00	$225.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.00 / $55.00 / $55.00	Professional	26	$33.00	$55.00	$55.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $103.00 / $170.00 / $170.00	Professional	TC	$103.00	$170.00	$170.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.30 / $74.84 / $125.80	Professional		$51.30	$74.84	$125.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.16 / $21.54 / $42.80	Professional	26	$15.16	$21.54	$42.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.22 / $49.07 / $87.34	Professional	TC	$34.22	$49.07	$87.34
United Facility/Professional Professional Modifier Low / Median / High Price $53.34 / $88.04 / $152.88	Professional		$53.34	$88.04	$152.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.97 / $27.16 / $42.21	Professional	26	$15.97	$27.16	$42.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.36 / $64.90 / $111.54	Professional	TC	$37.36	$64.90	$111.54