Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $10.00 / $10.00	Facility	26	$10.00	$10.00	$10.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $39.81 / $85.11	Professional		$30.90	$39.81	$85.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $15.85 / $25.70	Professional	26	$9.33	$15.85	$25.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $28.84 / $51.29	Professional	TC	$20.89	$28.84	$51.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $138.04 / $138.04	Professional		$89.13	$138.04	$138.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $39.81 / $39.81	Professional	26	$25.70	$39.81	$39.81
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $97.72 / $97.72	Professional	TC	$63.10	$97.72	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $54.95 / $102.33	Professional		$35.48	$54.95	$102.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $18.62 / $34.67	Professional	26	$11.22	$18.62	$34.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $38.90 / $70.79	Professional	TC	$22.91	$38.90	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $60.26 / $104.71	Professional		$37.15	$60.26	$104.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $19.50 / $35.48	Professional	26	$11.48	$19.50	$35.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $40.74 / $70.79	Professional	TC	$25.12	$40.74	$70.79