Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.96 / $203.67 / $456.47	Facility		$60.96	$203.67	$456.47
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.07 / $13.01 / $44.20	Facility	26	$10.07	$13.01	$44.20
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $29.25 / $221.96 / $382.58	Facility	TC	$29.25	$221.96	$382.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.58 / $37.02 / $110.60	Professional		$27.58	$37.02	$110.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.49 / $12.19 / $43.35	Professional	26	$9.49	$12.19	$43.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.92 / $22.81 / $47.05	Professional	TC	$17.92	$22.81	$47.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.00 / $108.44 / $169.39	Facility		$63.00	$108.44	$169.39
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $11.35 / $11.35 / $11.35	Facility	26	$11.35	$11.35	$11.35
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $20.32 / $20.32 / $20.32	Facility	TC	$20.32	$20.32	$20.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.03 / $37.71 / $61.79	Professional		$29.03	$37.71	$61.79
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.02 / $13.40 / $20.79	Professional	26	$10.02	$13.40	$20.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.51 / $26.10 / $42.41	Professional	TC	$19.51	$26.10	$42.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.34 / $107.16 / $193.75	Facility		$42.34	$107.16	$193.75
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.95 / $11.95 / $11.95	Facility	26	$11.95	$11.95	$11.95
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $26.10 / $26.10 / $26.10	Facility	TC	$26.10	$26.10	$26.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.55 / $41.79 / $69.95	Professional		$28.55	$41.79	$69.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.42 / $14.81 / $24.23	Professional	26	$9.42	$14.81	$24.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.88 / $27.52 / $47.45	Professional	TC	$18.88	$27.52	$47.45
United Facility/Professional Facility Modifier Low / Median / High Price $38.67 / $47.78 / $47.78	Facility		$38.67	$47.78	$47.78
United Facility/Professional Professional Modifier Low / Median / High Price $28.90 / $36.40 / $62.54	Professional		$28.90	$36.40	$62.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.41 / $12.87 / $25.88	Professional	26	$10.41	$12.87	$25.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.72 / $24.21 / $52.09	Professional	TC	$18.72	$24.21	$52.09