Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $380.19 / $380.19 / $501.19	Facility	TC	$380.19	$380.19	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $48.98 / $123.03	Professional		$26.30	$48.98	$123.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $16.98 / $58.88	Professional	26	$9.55	$16.98	$58.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $25.70 / $114.82	Professional	TC	$17.38	$25.70	$114.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $46.77 / $67.61	Professional		$34.67	$46.77	$67.61
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $13.80 / $23.44	Professional	26	$9.55	$13.80	$23.44
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $32.36 / $43.65	Professional	TC	$22.91	$32.36	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $58.88 / $85.11	Professional		$30.20	$58.88	$85.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $19.95 / $24.55	Professional	26	$9.33	$19.95	$24.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $38.90 / $61.66	Professional	TC	$20.42	$38.90	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $42.66 / $72.44	Professional		$30.20	$42.66	$72.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $13.18 / $21.38	Professional	26	$10.96	$13.18	$21.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $30.90 / $51.29	Professional	TC	$19.50	$30.90	$51.29