Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.55 / $13.80 / $34.67	Facility	26	$9.55	$13.80	$34.67
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.12 / $85.11 / $416.87	Facility	TC	$25.12	$85.11	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $45.71 / $144.54	Professional		$28.84	$45.71	$144.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $16.60 / $50.12	Professional	26	$9.12	$16.60	$50.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $28.18 / $69.18	Professional	TC	$19.05	$28.18	$69.18
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $12.02 / $12.02	Facility	26	$12.02	$12.02	$12.02
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $22.39 / $22.39 / $22.39	Facility	TC	$22.39	$22.39	$22.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $40.74 / $81.28	Professional		$25.12	$40.74	$81.28
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $13.80 / $26.30	Professional	26	$7.24	$13.80	$26.30
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $26.92 / $54.95	Professional	TC	$17.78	$26.92	$54.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.69 / $14.45 / $33.88	Facility	26	$2.69	$14.45	$33.88
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $6.03 / $32.36 / $87.10	Facility	TC	$6.03	$32.36	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $45.71 / $93.33	Professional		$28.18	$45.71	$93.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $15.49 / $30.20	Professional	26	$8.91	$15.49	$30.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $31.62 / $67.61	Professional	TC	$19.05	$31.62	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $37.15 / $70.79	Professional		$28.18	$37.15	$70.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $12.59 / $23.44	Professional	26	$9.55	$12.59	$23.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $24.55 / $47.86	Professional	TC	$18.62	$24.55	$47.86