Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.10 / $62.10 / $62.10	Facility	26	$62.10	$62.10	$62.10
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $154.44 / $458.85 / $458.85	Facility	TC	$154.44	$458.85	$458.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.96 / $34.45 / $39.88	Professional		$27.96	$34.45	$39.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.47 / $11.29 / $61.39	Professional	26	$9.47	$11.29	$61.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.48 / $25.32 / $28.02	Professional	TC	$18.48	$25.32	$28.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.37 / $218.05 / $254.15	Facility		$93.37	$218.05	$254.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $45.11 / $75.42	Professional		$39.86	$45.11	$75.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.53 / $10.75 / $23.69	Professional	26	$7.53	$10.75	$23.69
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.07 / $34.38 / $34.63	Professional	TC	$24.07	$34.38	$34.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.74 / $326.44 / $573.86	Facility		$125.74	$326.44	$573.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.28 / $54.18 / $79.98	Professional		$32.28	$54.18	$79.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.26 / $14.46 / $22.61	Professional	26	$9.26	$14.46	$22.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.21 / $41.21 / $62.18	Professional	TC	$23.21	$41.21	$62.18
United Facility/Professional Facility Modifier Low / Median / High Price $223.09 / $223.09 / $223.09	Facility		$223.09	$223.09	$223.09
United Facility/Professional Professional Modifier Low / Median / High Price $31.84 / $44.35 / $80.84	Professional		$31.84	$44.35	$80.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.68 / $12.30 / $19.18	Professional	26	$6.68	$12.30	$19.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.92 / $32.22 / $61.31	Professional	TC	$20.92	$32.22	$61.31