Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.32 / $15.14 / $25.80	Facility	26	$12.32	$15.14	$25.80
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $29.33 / $62.23 / $266.70	Facility	TC	$29.33	$62.23	$266.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.18 / $40.51 / $75.87	Professional		$35.18	$40.51	$75.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.05 / $12.92 / $23.63	Professional	26	$11.05	$12.92	$23.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.17 / $27.94 / $51.90	Professional	TC	$23.17	$27.94	$51.90
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $14.49 / $14.49 / $14.49	Facility	26	$14.49	$14.49	$14.49
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $26.15 / $26.15 / $26.15	Facility	TC	$26.15	$26.15	$26.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.70 / $48.14 / $83.99	Professional		$35.70	$48.14	$83.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.29 / $15.79 / $25.63	Professional	26	$12.29	$15.79	$25.63
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.38 / $33.90 / $59.14	Professional	TC	$23.38	$33.90	$59.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.65 / $14.65 / $14.65	Facility	26	$14.65	$14.65	$14.65
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $33.92 / $33.92 / $33.92	Facility	TC	$33.92	$33.92	$33.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.99 / $53.46 / $89.16	Professional		$35.99	$53.46	$89.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.56 / $18.57 / $29.81	Professional	26	$11.56	$18.57	$29.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.33 / $35.53 / $62.40	Professional	TC	$24.33	$35.53	$62.40
United Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $46.48 / $79.84	Professional		$37.36	$46.48	$79.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.75 / $15.70 / $27.47	Professional	26	$12.75	$15.70	$27.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.12 / $30.79 / $53.43	Professional	TC	$24.12	$30.79	$53.43