Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.82 / $89.82 / $89.82	Facility	26	$89.82	$89.82	$89.82
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $226.26 / $226.26 / $226.26	Facility	TC	$226.26	$226.26	$226.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.46 / $47.95 / $108.84	Professional		$38.46	$47.95	$108.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.20 / $14.03 / $32.97	Professional	26	$11.20	$14.03	$32.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.26 / $33.14 / $38.02	Professional	TC	$27.26	$33.14	$38.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.71 / $67.73 / $138.06	Professional		$57.71	$67.73	$138.06
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.18 / $17.39 / $17.63	Professional	26	$12.18	$17.39	$17.63
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.24 / $50.34 / $50.47	Professional	TC	$35.24	$50.34	$50.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.77 / $81.03 / $108.68	Professional		$48.77	$81.03	$108.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.37 / $20.97 / $30.05	Professional	26	$12.37	$20.97	$30.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.97 / $60.05 / $81.89	Professional	TC	$33.97	$60.05	$81.89
United Facility/Professional Professional Modifier Low / Median / High Price $44.09 / $65.95 / $121.19	Professional		$44.09	$65.95	$121.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.06 / $18.73 / $30.28	Professional	26	$14.06	$18.73	$30.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.33 / $47.22 / $89.67	Professional	TC	$31.33	$47.22	$89.67