Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.13 / $14.13 / $14.13	Facility	26	$14.13	$14.13	$14.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $58.88 / $100.00	Professional		$45.71	$58.88	$100.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $15.85 / $33.88	Professional	26	$12.88	$15.85	$33.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $41.69 / $70.79	Professional	TC	$33.11	$41.69	$70.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $213.80 / $213.80	Professional		$138.04	$213.80	$213.80
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $56.23 / $56.23	Professional	26	$36.31	$56.23	$56.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $158.49 / $158.49	Professional	TC	$102.33	$158.49	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $85.11 / $158.49	Professional		$53.70	$85.11	$158.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $25.12 / $43.65	Professional	26	$15.85	$25.12	$43.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $63.10 / $114.82	Professional	TC	$37.15	$63.10	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $95.50 / $173.78	Professional		$38.90	$95.50	$173.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $26.92 / $46.77	Professional	26	$10.72	$26.92	$46.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $69.18 / $125.89	Professional	TC	$28.84	$69.18	$125.89