Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.36 / $212.42 / $456.98	Facility		$53.36	$212.42	$456.98
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.35 / $13.15 / $20.02	Facility	26	$10.35	$13.15	$20.02
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $31.64 / $144.93 / $369.87	Facility	TC	$31.64	$144.93	$369.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.51 / $43.24 / $108.83	Professional		$34.51	$43.24	$108.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.65 / $12.56 / $32.40	Professional	26	$9.65	$12.56	$32.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.16 / $29.86 / $58.71	Professional	TC	$24.16	$29.86	$58.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.90 / $138.29 / $200.00	Facility		$62.90	$138.29	$200.00
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 Facility Modifier TC Low / Median / High Price $22.62 / $22.62 / $22.62	Facility	TC	$22.62	$22.62	$22.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.65 / $46.30 / $73.77	Professional		$33.65	$46.30	$73.77
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.35 / $14.60 / $21.58	Professional	26	$10.35	$14.60	$21.58
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.35 / $32.42 / $53.55	Professional	TC	$24.35	$32.42	$53.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.52 / $111.80 / $224.35	Facility		$50.52	$111.80	$224.35
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.30 / $12.30 / $12.30	Facility	26	$12.30	$12.30	$12.30
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $32.44 / $32.44 / $32.44	Facility	TC	$32.44	$32.44	$32.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.68 / $48.84 / $84.85	Professional		$32.68	$48.84	$84.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.73 / $15.33 / $24.78	Professional	26	$9.73	$15.33	$24.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.97 / $34.17 / $60.63	Professional	TC	$22.97	$34.17	$60.63
United Facility/Professional Facility Modifier Low / Median / High Price $92.31 / $138.90 / $182.03	Facility		$92.31	$138.90	$182.03
United Facility/Professional Professional Modifier Low / Median / High Price $33.42 / $42.27 / $73.48	Professional		$33.42	$42.27	$73.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $12.80 / $23.02	Professional	26	$10.23	$12.80	$23.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.01 / $29.00 / $50.92	Professional	TC	$23.01	$29.00	$50.92