Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.68 / $12.52 / $20.43	Facility	26	$10.68	$12.52	$20.43
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.59 / $102.45 / $398.17	Facility	TC	$25.59	$102.45	$398.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.19 / $35.90 / $86.70	Professional		$30.19	$35.90	$86.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.96 / $11.90 / $34.13	Professional	26	$9.96	$11.90	$34.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.89 / $24.00 / $49.63	Professional	TC	$19.89	$24.00	$49.63
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $12.06 / $12.06 / $12.06	Facility	26	$12.06	$12.06	$12.06
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $22.51 / $22.51 / $22.51	Facility	TC	$22.51	$22.51	$22.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.51 / $41.06 / $72.24	Professional		$30.51	$41.06	$72.24
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.67 / $14.14 / $22.26	Professional	26	$10.67	$14.14	$22.26
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.11 / $29.08 / $50.98	Professional	TC	$20.11	$29.08	$50.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.36 / $12.36 / $12.36	Facility	26	$12.36	$12.36	$12.36
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $29.08 / $29.08 / $29.08	Facility	TC	$29.08	$29.08	$29.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.37 / $46.70 / $77.58	Professional		$31.37	$46.70	$77.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.75 / $15.80 / $25.85	Professional	26	$9.75	$15.80	$25.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.96 / $30.52 / $52.96	Professional	TC	$20.96	$30.52	$52.96
United Facility/Professional Professional Modifier Low / Median / High Price $31.87 / $40.10 / $69.26	Professional		$31.87	$40.10	$69.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.95 / $13.68 / $23.26	Professional	26	$10.95	$13.68	$23.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.73 / $26.31 / $46.24	Professional	TC	$20.73	$26.31	$46.24