Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.54 / $13.54 / $13.81	Facility	26	$13.54	$13.54	$13.81
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $38.77 / $38.77 / $40.79	Facility	TC	$38.77	$38.77	$40.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.42 / $44.27 / $64.36	Professional		$40.42	$44.27	$64.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.31 / $13.41 / $16.07	Professional	26	$11.31	$13.41	$16.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.11 / $32.19 / $48.30	Professional	TC	$29.11	$32.19	$48.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.00 / $226.00 / $226.00	Professional		$138.00	$226.00	$226.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.00 / $59.00 / $59.00	Professional	26	$36.00	$59.00	$59.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $102.00 / $167.00 / $167.00	Professional	TC	$102.00	$167.00	$167.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.51 / $73.62 / $126.21	Professional		$50.51	$73.62	$126.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.61 / $22.23 / $39.84	Professional	26	$15.61	$22.23	$39.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.86 / $48.66 / $86.37	Professional	TC	$33.86	$48.66	$86.37
United Facility/Professional Professional Modifier Low / Median / High Price $46.63 / $92.53 / $150.71	Professional		$46.63	$92.53	$150.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.64 / $29.26 / $45.48	Professional	26	$14.64	$29.26	$45.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.94 / $65.91 / $103.41	Professional	TC	$31.94	$65.91	$103.41