Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $239.88 / $575.44	Facility		$51.29	$239.88	$575.44
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $14.13 / $40.74	Facility	26	$9.33	$14.13	$40.74
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $30.20 / $134.90 / $478.63	Facility	TC	$30.20	$134.90	$478.63
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 $9.77 / $15.49 / $42.66	Professional	26	$9.77	$15.49	$42.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $37.15 / $89.13	Professional	TC	$22.91	$37.15	$89.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $95.50 / $323.59	Facility		$31.62	$95.50	$323.59
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 $24.55 / $24.55 / $24.55	Facility	TC	$24.55	$24.55	$24.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $44.67 / $81.28	Professional		$33.11	$44.67	$81.28
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $14.13 / $25.12	Professional	26	$9.33	$14.13	$25.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $30.90 / $57.54	Professional	TC	$22.91	$30.90	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $87.10 / $316.23	Facility		$29.51	$87.10	$316.23
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 / $97.72	Facility	TC	$6.76	$36.31	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $51.29 / $102.33	Professional		$30.90	$51.29	$102.33
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 $21.88 / $36.31 / $77.62	Professional	TC	$21.88	$36.31	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $134.90 / $302.00	Facility		$26.30	$134.90	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $40.74 / $75.86	Professional		$30.20	$40.74	$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 $21.38 / $28.18 / $53.70	Professional	TC	$21.38	$28.18	$53.70