Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.24 / $12.24 / $12.48	Facility	26	$12.24	$12.24	$12.48
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $29.06 / $296.58 / $296.58	Facility	TC	$29.06	$296.58	$296.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.70 / $35.65 / $51.30	Professional		$32.70	$35.65	$51.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.26 / $12.27 / $23.42	Professional	26	$10.26	$12.27	$23.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.44 / $24.82 / $36.82	Professional	TC	$22.44	$24.82	$36.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $181.00 / $181.00	Professional		$110.00	$181.00	$181.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.00 / $53.00 / $53.00	Professional	26	$32.00	$53.00	$53.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $78.00 / $128.00 / $128.00	Professional	TC	$78.00	$128.00	$128.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.72 / $59.49 / $101.46	Professional		$40.72	$59.49	$101.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.14 / $20.10 / $36.17	Professional	26	$14.14	$20.10	$36.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.60 / $36.72 / $65.29	Professional	TC	$25.60	$36.72	$65.29
United Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $74.15 / $121.00	Professional		$37.36	$74.15	$121.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.25 / $25.75 / $42.90	Professional	26	$13.25	$25.75	$42.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.12 / $50.07 / $78.09	Professional	TC	$24.12	$50.07	$78.09