Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.37 / $58.56 / $73.36	Facility	26	$49.37	$58.56	$73.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.86 / $68.59 / $85.84	Professional		$43.86	$68.59	$85.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.95 / $49.37 / $56.03	Professional	26	$30.95	$49.37	$56.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.91 / $19.22 / $28.80	Professional	TC	$12.91	$19.22	$28.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.61 / $85.52 / $95.02	Professional		$64.61	$85.52	$95.02
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.84 / $61.99 / $68.88	Professional	26	$46.84	$61.99	$68.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $23.53 / $26.14	Professional	TC	$17.78	$23.53	$26.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.23 / $97.64 / $132.72	Professional		$67.23	$97.64	$132.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.47 / $68.51 / $95.50	Professional	26	$45.47	$68.51	$95.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.04 / $26.57 / $37.75	Professional	TC	$20.04	$26.57	$37.75
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $115.77 / $115.77 / $115.77	Professional		$115.77	$115.77	$115.77
United Facility/Professional Professional Modifier Low / Median / High Price $57.77 / $70.13 / $118.62	Professional		$57.77	$70.13	$118.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.14 / $51.37 / $85.10	Professional	26	$41.14	$51.37	$85.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.63 / $19.12 / $33.84	Professional	TC	$16.63	$19.12	$33.84