Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.65 / $159.03 / $388.87	Facility		$41.65	$159.03	$388.87
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.72 / $12.10 / $19.91	Facility	26	$8.72	$12.10	$19.91
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $27.11 / $58.17 / $273.07	Facility	TC	$27.11	$58.17	$273.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.05 / $37.21 / $70.73	Professional		$30.05	$37.21	$70.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.84 / $11.28 / $32.83	Professional	26	$7.84	$11.28	$32.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.09 / $25.92 / $48.20	Professional	TC	$22.09	$25.92	$48.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $132.11 / $207.73	Facility		$63.10	$132.11	$207.73
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $13.27 / $13.27 / $13.27	Facility	26	$13.27	$13.27	$13.27
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $24.45 / $24.45 / $24.45	Facility	TC	$24.45	$24.45	$24.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.46 / $42.26 / $69.63	Professional		$32.46	$42.26	$69.63
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.45 / $13.13 / $21.59	Professional	26	$8.45	$13.13	$21.59
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.12 / $30.61 / $49.82	Professional	TC	$23.12	$30.61	$49.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.68 / $114.46 / $266.75	Facility		$48.68	$114.46	$266.75
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.01 / $10.01 / $10.01	Facility	26	$10.01	$10.01	$10.01
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $30.58 / $30.58 / $30.58	Facility	TC	$30.58	$30.58	$30.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.42 / $49.07 / $79.98	Professional		$32.42	$49.07	$79.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.26 / $14.57 / $24.65	Professional	26	$9.26	$14.57	$24.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.66 / $33.10 / $57.29	Professional	TC	$22.66	$33.10	$57.29
United Facility/Professional Facility Modifier Low / Median / High Price $174.49 / $211.69 / $319.02	Facility		$174.49	$211.69	$319.02
United Facility/Professional Professional Modifier Low / Median / High Price $33.24 / $41.27 / $71.08	Professional		$33.24	$41.27	$71.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.74 / $12.47 / $21.98	Professional	26	$9.74	$12.47	$21.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.94 / $27.41 / $48.36	Professional	TC	$22.94	$27.41	$48.36