Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.10 / $265.36 / $521.92	Facility		$51.10	$265.36	$521.92
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.38 / $13.98 / $27.20	Facility	26	$10.38	$13.98	$27.20
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $33.46 / $264.39 / $458.85	Facility	TC	$33.46	$264.39	$458.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.74 / $44.36 / $115.15	Professional		$34.74	$44.36	$115.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.65 / $12.35 / $38.86	Professional	26	$9.65	$12.35	$38.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.82 / $31.04 / $64.00	Professional	TC	$24.82	$31.04	$64.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.44 / $148.15 / $228.80	Facility		$67.44	$148.15	$228.80
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 $24.81 / $24.81 / $24.81	Facility	TC	$24.81	$24.81	$24.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.79 / $44.80 / $75.84	Professional		$34.79	$44.80	$75.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.35 / $14.60 / $21.64	Professional	26	$10.35	$14.60	$21.64
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.39 / $32.85 / $54.25	Professional	TC	$24.39	$32.85	$54.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.36 / $121.41 / $266.75	Facility		$52.36	$121.41	$266.75
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 $32.79 / $32.79 / $32.79	Facility	TC	$32.79	$32.79	$32.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.46 / $50.95 / $84.93	Professional		$33.46	$50.95	$84.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.73 / $15.40 / $24.78	Professional	26	$9.73	$15.40	$24.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.38 / $35.96 / $61.29	Professional	TC	$24.38	$35.96	$61.29
United Facility/Professional Facility Modifier Low / Median / High Price $107.03 / $178.56 / $178.56	Facility		$107.03	$178.56	$178.56
United Facility/Professional Professional Modifier Low / Median / High Price $34.76 / $42.49 / $74.09	Professional		$34.76	$42.49	$74.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.24 / $13.08 / $22.81	Professional	26	$10.24	$13.08	$22.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.70 / $31.06 / $51.86	Professional	TC	$23.70	$31.06	$51.86