Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $165.96 / $436.52	Facility		$41.69	$165.96	$436.52
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $14.13 / $37.15	Facility	26	$9.33	$14.13	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $37.15 / $109.65	Professional		$19.95	$37.15	$109.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $16.22 / $39.81	Professional	26	$8.91	$16.22	$39.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $27.54 / $63.10	Professional	TC	$19.05	$27.54	$63.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $85.11 / $269.15	Facility		$28.84	$85.11	$269.15
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $11.75 / $11.75 / $11.75	Facility	26	$11.75	$11.75	$11.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $40.74 / $74.13	Professional		$30.20	$40.74	$74.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $14.13 / $24.55	Professional	26	$9.33	$14.13	$24.55
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $26.92 / $51.29	Professional	TC	$19.50	$26.92	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $75.86 / $251.19	Facility		$32.36	$75.86	$251.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.63 / $13.80 / $33.11	Facility	26	$2.63	$13.80	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $45.71 / $93.33	Professional		$27.54	$45.71	$93.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $14.79 / $29.51	Professional	26	$8.91	$14.79	$29.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $31.62 / $69.18	Professional	TC	$19.05	$31.62	$69.18
United Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $104.71 / $251.19	Facility		$22.39	$104.71	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $36.31 / $70.79	Professional		$27.54	$36.31	$70.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $11.75 / $22.39	Professional	26	$8.91	$11.75	$22.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $24.55 / $47.86	Professional	TC	$18.62	$24.55	$47.86