Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $194.98 / $478.63	Facility		$41.69	$194.98	$478.63
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $13.18 / $38.02	Facility	26	$7.94	$13.18	$38.02
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.92 / $69.18 / $363.08	Facility	TC	$26.92	$69.18	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $40.74 / $123.03	Professional		$27.54	$40.74	$123.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $15.14 / $44.67	Professional	26	$7.08	$15.14	$44.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $28.18 / $58.88	Professional	TC	$19.05	$28.18	$58.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $89.13 / $323.59	Facility		$31.62	$89.13	$323.59
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $13.18 / $13.18 / $13.18	Facility	26	$13.18	$13.18	$13.18
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $24.55 / $24.55 / $24.55	Facility	TC	$24.55	$24.55	$24.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $42.66 / $77.62	Professional		$29.51	$42.66	$77.62
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $14.13 / $25.12	Professional	26	$7.59	$14.13	$25.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $28.84 / $54.95	Professional	TC	$21.38	$28.84	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $100.00 / $338.84	Facility		$40.74	$100.00	$338.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.14 / $11.22 / $27.54	Facility	26	$2.14	$11.22	$27.54
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $6.31 / $33.88 / $91.20	Facility	TC	$6.31	$33.88	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $48.98 / $95.50	Professional		$29.51	$48.98	$95.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $14.13 / $26.30	Professional	26	$7.59	$14.13	$26.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $33.88 / $72.44	Professional	TC	$20.89	$33.88	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $134.90 / $302.00	Facility		$24.55	$134.90	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.02 / $72.44	Professional		$28.84	$38.02	$72.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $12.02 / $21.88	Professional	26	$8.71	$12.02	$21.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $26.30 / $51.29	Professional	TC	$19.95	$26.30	$51.29