Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $218.78 / $588.84	Facility		$39.81	$218.78	$588.84
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.41 / $10.96 / $30.20	Facility	26	$7.41	$10.96	$30.20
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $16.98 / $131.83 / $407.38	Facility	TC	$16.98	$131.83	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $28.84 / $87.10	Professional		$17.78	$28.84	$87.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $9.55 / $38.02	Professional	26	$7.94	$9.55	$38.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $16.98 / $42.66	Professional	TC	$10.00	$16.98	$42.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $56.23 / $269.15	Facility		$16.22	$56.23	$269.15
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $9.55 / $9.55 / $9.55	Facility	26	$9.55	$9.55	$9.55
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $11.22 / $11.22 / $11.22	Facility	TC	$11.22	$11.22	$11.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $26.30 / $53.70	Professional		$18.20	$26.30	$53.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $10.72 / $21.38	Professional	26	$7.59	$10.72	$21.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $9.77 / $16.98 / $33.88	Professional	TC	$9.77	$16.98	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $63.10 / $263.03	Facility		$20.89	$63.10	$263.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.14 / $11.22 / $26.30	Facility	26	$2.14	$11.22	$26.30
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $4.07 / $21.38 / $56.23	Facility	TC	$4.07	$21.38	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $30.20 / $64.57	Professional		$18.62	$30.20	$64.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $12.30 / $23.99	Professional	26	$7.08	$12.30	$23.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.72 / $17.78 / $43.65	Professional	TC	$10.72	$17.78	$43.65
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $104.71 / $251.19	Facility		$12.30	$104.71	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.70 / $48.98	Professional		$18.20	$25.70	$48.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $9.77 / $18.20	Professional	26	$7.41	$9.77	$18.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $9.77 / $15.85 / $30.90	Professional	TC	$9.77	$15.85	$30.90