Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.19 / $215.47 / $455.14	Facility		$42.19	$215.47	$455.14
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.47 / $12.59 / $20.34	Facility	26	$9.47	$12.59	$20.34
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $24.81 / $89.84 / $387.56	Facility	TC	$24.81	$89.84	$387.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.69 / $36.28 / $87.55	Professional		$28.69	$36.28	$87.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.69 / $11.36 / $31.47	Professional	26	$8.69	$11.36	$31.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.37 / $23.81 / $45.35	Professional	TC	$19.37	$23.81	$45.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.26 / $124.71 / $190.03	Facility		$64.26	$124.71	$190.03
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 $23.71 / $23.71 / $23.71	Facility	TC	$23.71	$23.71	$23.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.04 / $38.29 / $65.87	Professional		$31.04	$38.29	$65.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.42 / $13.69 / $19.99	Professional	26	$9.42	$13.69	$19.99
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.85 / $27.41 / $44.01	Professional	TC	$20.85	$27.41	$44.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.16 / $104.47 / $266.75	Facility		$45.16	$104.47	$266.75
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.16 / $11.16 / $11.16	Facility	26	$11.16	$11.16	$11.16
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $26.10 / $26.10 / $26.10	Facility	TC	$26.10	$26.10	$26.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.81 / $44.36 / $72.81	Professional		$28.81	$44.36	$72.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.97 / $14.35 / $23.52	Professional	26	$8.97	$14.35	$23.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.45 / $30.92 / $51.60	Professional	TC	$20.45	$30.92	$51.60
United Facility/Professional Facility Modifier Low / Median / High Price $37.90 / $189.00 / $189.00	Facility		$37.90	$189.00	$189.00
United Facility/Professional Professional Modifier Low / Median / High Price $29.57 / $36.56 / $63.84	Professional		$29.57	$36.56	$63.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.81 / $11.98 / $21.04	Professional	26	$9.81	$11.98	$21.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.17 / $25.35 / $46.35	Professional	TC	$20.17	$25.35	$46.35