Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $204.17 / $524.81	Facility		$48.98	$204.17	$524.81
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 Facility Modifier TC Low / Median / High Price $28.18 / $93.33 / $389.05	Facility	TC	$28.18	$93.33	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $53.70 / $158.49	Professional		$32.36	$53.70	$158.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $16.60 / $39.81	Professional	26	$8.91	$16.60	$39.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $35.48 / $81.28	Professional	TC	$21.88	$35.48	$81.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $93.33 / $269.15	Facility		$31.62	$93.33	$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 Facility Modifier TC Low / Median / High Price $22.39 / $22.39 / $22.39	Facility	TC	$22.39	$22.39	$22.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $43.65 / $81.28	Professional		$32.36	$43.65	$81.28
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 $21.38 / $30.20 / $57.54	Professional	TC	$21.38	$30.20	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $102.33 / $281.84	Facility		$40.74	$102.33	$281.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.63 / $13.80 / $33.88	Facility	26	$2.63	$13.80	$33.88
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $6.76 / $36.31 / $95.50	Facility	TC	$6.76	$36.31	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $100.00	Professional		$30.20	$50.12	$100.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $15.14 / $29.51	Professional	26	$9.12	$15.14	$29.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $35.48 / $75.86	Professional	TC	$21.38	$35.48	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $104.71 / $251.19	Facility		$23.99	$104.71	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $39.81 / $75.86	Professional		$29.51	$39.81	$75.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $12.02 / $22.39	Professional	26	$9.12	$12.02	$22.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $27.54 / $53.70	Professional	TC	$20.42	$27.54	$53.70