Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.20 / $5.99 / $9.07	Professional	26	$5.20	$5.99	$9.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.48 / $20.14 / $28.30	Professional	TC	$17.48	$20.14	$28.30
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.30 / $29.02 / $29.02	Professional	26	$20.30	$29.02	$29.02
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.55 / $92.21 / $92.21	Professional	TC	$64.55	$92.21	$92.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.28 / $36.36 / $52.19	Professional	26	$28.28	$36.36	$52.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $91.84 / $119.77 / $173.08	Professional	TC	$91.84	$119.77	$173.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.30 / $26.46 / $28.12	Professional	26	$24.30	$26.46	$28.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $85.16 / $93.80 / $185.95	Professional	TC	$85.16	$93.80	$185.95