Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.19 / $81.19 / $81.19	Facility	26	$81.19	$81.19	$81.19
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $171.87 / $171.87 / $171.87	Facility	TC	$171.87	$171.87	$171.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.60 / $38.09 / $75.87	Professional		$31.60	$38.09	$75.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.53 / $12.67 / $14.16	Professional	26	$10.53	$12.67	$14.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.06 / $25.21 / $28.95	Professional	TC	$21.06	$25.21	$28.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.02 / $53.46 / $75.37	Professional		$48.02	$53.46	$75.37
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.02 / $15.74 / $26.43	Professional	26	$11.02	$15.74	$26.43
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.42 / $37.74 / $48.94	Professional	TC	$26.42	$37.74	$48.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.49 / $65.27 / $87.59	Professional		$38.49	$65.27	$87.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.20 / $18.96 / $27.17	Professional	26	$11.20	$18.96	$27.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.76 / $46.30 / $63.34	Professional	TC	$25.76	$46.30	$63.34
United Facility/Professional Professional Modifier Low / Median / High Price $35.45 / $49.56 / $70.95	Professional		$35.45	$49.56	$70.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.71 / $17.19 / $27.30	Professional	26	$12.71	$17.19	$27.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.65 / $36.11 / $72.31	Professional	TC	$23.65	$36.11	$72.31