Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.30 / $12.30 / $12.30	Facility	26	$12.30	$12.30	$12.30
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $295.12 / $295.12 / $295.12	Facility	TC	$295.12	$295.12	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $48.98 / $97.72	Professional		$34.67	$48.98	$97.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $24.55 / $32.36	Professional	26	$12.02	$24.55	$32.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $32.36 / $74.13	Professional	TC	$23.99	$32.36	$74.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $169.82 / $169.82	Professional		$109.65	$169.82	$169.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $50.12 / $50.12	Professional	26	$33.11	$50.12	$50.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $120.23 / $120.23	Professional	TC	$77.62	$120.23	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $69.18 / $109.65	Professional		$40.74	$69.18	$109.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $22.91 / $39.81	Professional	26	$14.13	$22.91	$39.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $47.86 / $70.79	Professional	TC	$25.70	$47.86	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $74.13 / $120.23	Professional		$37.15	$74.13	$120.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $23.99 / $42.66	Professional	26	$13.18	$23.99	$42.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $50.12 / $77.62	Professional	TC	$23.99	$50.12	$77.62