Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $113.33 / $113.33 / $113.33	Facility	26	$113.33	$113.33	$113.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.55 / $36.57 / $57.72	Professional		$31.55	$36.57	$57.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.42 / $20.42 / $29.98	Professional	26	$17.42	$20.42	$29.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.19 / $15.33 / $37.31	Professional	TC	$13.19	$15.33	$37.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.07 / $57.73 / $63.59	Professional		$49.07	$57.73	$63.59
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.49 / $20.70 / $20.70	Professional	26	$14.49	$20.70	$20.70
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.92 / $37.03 / $37.03	Professional	TC	$25.92	$37.03	$37.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.60 / $72.78 / $107.44	Professional		$40.60	$72.78	$107.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.56 / $32.40 / $37.92	Professional	26	$21.56	$32.40	$37.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.57 / $45.51 / $71.58	Professional	TC	$16.57	$45.51	$71.58
United Facility/Professional Professional Modifier Low / Median / High Price $38.94 / $48.10 / $73.30	Professional		$38.94	$48.10	$73.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.30 / $21.68 / $33.97	Professional	26	$17.30	$21.68	$33.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.39 / $24.90 / $41.76	Professional	TC	$18.39	$24.90	$41.76