Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.24 / $35.02 / $63.59	Facility	26	$27.24	$35.02	$63.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.38 / $95.79 / $119.88	Professional		$74.38	$95.79	$119.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.76 / $67.30 / $90.23	Professional	TC	$50.76	$67.30	$90.23
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $33.86 / $33.86 / $33.86	Facility	26	$33.86	$33.86	$33.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.35 / $108.25 / $185.51	Professional		$82.35	$108.25	$185.51
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $55.21 / $75.39 / $128.84	Professional	TC	$55.21	$75.39	$128.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.62 / $31.62 / $31.62	Facility	26	$31.62	$31.62	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.37 / $127.93 / $211.79	Professional		$82.37	$127.93	$211.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $90.64 / $151.69	Professional	TC	$53.70	$90.64	$151.69
United Facility/Professional Professional Modifier Low / Median / High Price $87.24 / $116.04 / $192.39	Professional		$87.24	$116.04	$192.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.63 / $83.05 / $136.05	Professional	TC	$58.63	$83.05	$136.05