Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $190.55 / $512.86	Facility		$54.95	$190.55	$512.86
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $13.49 / $48.98	Facility	26	$8.91	$13.49	$48.98
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.12 / $141.25 / $407.38	Facility	TC	$25.12	$141.25	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $44.67 / $128.82	Professional		$26.92	$44.67	$128.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $13.80 / $44.67	Professional	26	$8.91	$13.80	$44.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $28.18 / $69.18	Professional	TC	$18.20	$28.18	$69.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $75.86 / $269.15	Facility		$25.70	$75.86	$269.15
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $11.22 / $11.22 / $11.22	Facility	26	$11.22	$11.22	$11.22
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $20.42 / $20.42 / $20.42	Facility	TC	$20.42	$20.42	$20.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $37.15 / $77.62	Professional		$28.18	$37.15	$77.62
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $13.49 / $25.70	Professional	26	$8.91	$13.49	$25.70
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $24.55 / $51.29	Professional	TC	$18.20	$24.55	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $81.28 / $269.15	Facility		$31.62	$81.28	$269.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.51 / $13.49 / $33.11	Facility	26	$2.51	$13.49	$33.11
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $5.37 / $28.84 / $77.62	Facility	TC	$5.37	$28.84	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $42.66 / $85.11	Professional		$25.70	$42.66	$85.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $14.79 / $28.18	Professional	26	$8.51	$14.79	$28.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $28.18 / $60.26	Professional	TC	$17.38	$28.18	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $104.71 / $251.19	Facility		$20.42	$104.71	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.88 / $64.57	Professional		$25.70	$33.88	$64.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $11.75 / $21.88	Professional	26	$8.91	$11.75	$21.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $21.88 / $42.66	Professional	TC	$16.98	$21.88	$42.66