Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.98 / $413.25 / $1,146.73	Facility		$19.98	$413.25	$1,146.73
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.30 / $10.30 / $10.51	Facility	26	$10.30	$10.30	$10.51
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $303.70 / $395.57 / $554.83	Facility	TC	$303.70	$395.57	$554.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.07 / $36.65 / $47.76	Professional		$30.07	$36.65	$47.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.11 / $14.51 / $52.68	Professional	26	$9.11	$14.51	$52.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.46 / $26.62 / $57.21	Professional	TC	$21.46	$26.62	$57.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $168.00 / $168.00	Professional		$102.00	$168.00	$168.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.00 / $45.00 / $45.00	Professional	26	$27.00	$45.00	$45.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $75.00 / $123.00 / $123.00	Professional	TC	$75.00	$123.00	$123.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.74 / $56.42 / $98.77	Professional		$38.74	$56.42	$98.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.85 / $16.89 / $31.80	Professional	26	$11.85	$16.89	$31.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.32 / $37.72 / $65.29	Professional	TC	$26.32	$37.72	$65.29
United Facility/Professional Professional Modifier Low / Median / High Price $39.40 / $67.81 / $115.86	Professional		$39.40	$67.81	$115.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.89 / $20.28 / $35.20	Professional	26	$11.89	$20.28	$35.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $47.54 / $81.20	Professional	TC	$28.84	$47.54	$81.20