Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.88 / $12.88 / $12.88	Facility	26	$12.88	$12.88	$12.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $51.29 / $109.65	Professional		$37.15	$51.29	$109.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $20.89 / $33.88	Professional	26	$12.02	$20.89	$33.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $36.31 / $77.62	Professional	TC	$25.70	$36.31	$77.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $181.97 / $181.97	Professional		$114.82	$181.97	$181.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $52.48 / $52.48	Professional	26	$33.11	$52.48	$52.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $128.82 / $128.82	Professional	TC	$83.18	$128.82	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $72.44 / $107.15	Professional		$38.02	$72.44	$107.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $23.44 / $42.66	Professional	26	$14.45	$23.44	$42.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $41.69 / $69.18	Professional	TC	$22.39	$41.69	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $77.62 / $128.82	Professional		$39.81	$77.62	$128.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $24.55 / $43.65	Professional	26	$14.79	$24.55	$43.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $52.48 / $79.43	Professional	TC	$24.55	$52.48	$79.43