Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.73 / $57.73 / $57.73	Facility	26	$57.73	$57.73	$57.73
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $134.84 / $236.55 / $473.10	Facility	TC	$134.84	$236.55	$473.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.26 / $28.55 / $56.44	Professional		$23.26	$28.55	$56.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.07 / $8.84 / $34.00	Professional	26	$7.07	$8.84	$34.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.19 / $19.71 / $22.96	Professional	TC	$16.19	$19.71	$22.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.49 / $41.75 / $83.63	Professional		$35.49	$41.75	$83.63
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.81 / $11.16 / $12.65	Professional	26	$7.81	$11.16	$12.65
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.41 / $30.59 / $30.59	Professional	TC	$21.41	$30.59	$30.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.06 / $49.09 / $66.50	Professional		$30.06	$49.09	$66.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $13.48 / $19.30	Professional	26	$7.94	$13.48	$19.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.38 / $35.61 / $48.91	Professional	TC	$20.38	$35.61	$48.91
United Facility/Professional Professional Modifier Low / Median / High Price $26.72 / $38.33 / $74.88	Professional		$26.72	$38.33	$74.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.56 / $11.26 / $19.46	Professional	26	$8.56	$11.26	$19.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.66 / $28.14 / $54.58	Professional	TC	$18.66	$28.14	$54.58