Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.86 / $151.44 / $380.80	Facility		$40.86	$151.44	$380.80
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.33 / $13.14 / $19.94	Facility	26	$10.33	$13.14	$19.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.34 / $35.36 / $74.12	Professional		$25.34	$35.36	$74.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $10.97 / $28.30	Professional	26	$9.41	$10.97	$28.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.76 / $24.36 / $48.00	Professional	TC	$19.76	$24.36	$48.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.25 / $118.57 / $191.28	Facility		$61.25	$118.57	$191.28
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $11.82 / $11.82 / $11.82	Facility	26	$11.82	$11.82	$11.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.65 / $41.06 / $67.32	Professional		$31.65	$41.06	$67.32
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.35 / $14.57 / $21.58	Professional	26	$10.35	$14.57	$21.58
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.90 / $28.48 / $47.20	Professional	TC	$21.90	$28.48	$47.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.83 / $105.34 / $212.44	Facility		$45.83	$105.34	$212.44
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 Professional Modifier Low / Median / High Price $30.96 / $45.53 / $75.43	Professional		$30.96	$45.53	$75.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.52 / $15.26 / $24.78	Professional	26	$9.52	$15.26	$24.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.45 / $30.13 / $53.94	Professional	TC	$20.45	$30.13	$53.94
United Facility/Professional Facility Modifier Low / Median / High Price $80.90 / $112.55 / $139.10	Facility		$80.90	$112.55	$139.10
United Facility/Professional Professional Modifier Low / Median / High Price $31.32 / $39.49 / $68.00	Professional		$31.32	$39.49	$68.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.27 / $12.76 / $25.31	Professional	26	$10.27	$12.76	$25.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.65 / $26.83 / $47.62	Professional	TC	$20.65	$26.83	$47.62