Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.59 / $12.59 / $12.59	Facility	26	$12.59	$12.59	$12.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $79.43 / $109.65	Professional		$45.71	$79.43	$109.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $25.70 / $36.31	Professional	26	$12.02	$25.70	$36.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $69.18 / $85.11	Professional	TC	$34.67	$69.18	$85.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $204.17 / $204.17	Professional		$134.90	$204.17	$204.17
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $50.12 / $50.12	Professional	26	$33.11	$50.12	$50.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $154.88 / $154.88	Professional	TC	$100.00	$154.88	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $83.18 / $138.04	Professional		$53.70	$83.18	$138.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $25.70 / $46.77	Professional	26	$15.14	$25.70	$46.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $63.10 / $93.33	Professional	TC	$36.31	$63.10	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $87.10 / $158.49	Professional		$53.70	$87.10	$158.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $23.44 / $48.98	Professional	26	$15.49	$23.44	$48.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $63.10 / $109.65	Professional	TC	$39.81	$63.10	$109.65