Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.84 / $12.84 / $13.09	Facility	26	$12.84	$12.84	$13.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.31 / $48.49 / $70.84	Professional		$44.31	$48.49	$70.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.50 / $12.78 / $24.57	Professional	26	$10.50	$12.78	$24.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.79 / $37.38 / $55.95	Professional	TC	$33.79	$37.38	$55.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.00 / $250.00 / $250.00	Professional		$152.00	$250.00	$250.00
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 $119.00 / $195.00 / $195.00	Professional	TC	$119.00	$195.00	$195.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.31 / $77.56 / $133.54	Professional		$53.31	$77.56	$133.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.49 / $20.63 / $38.01	Professional	26	$14.49	$20.63	$38.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.47 / $53.85 / $100.86	Professional	TC	$37.47	$53.85	$100.86
United Facility/Professional Professional Modifier Low / Median / High Price $49.27 / $99.51 / $159.51	Professional		$49.27	$99.51	$159.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.93 / $26.40 / $45.10	Professional	26	$13.93	$26.40	$45.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.34 / $74.80 / $114.41	Professional	TC	$35.34	$74.80	$114.41