Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $208.93 / $562.34	Facility		$33.88	$208.93	$562.34
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.24 / $10.96 / $27.54	Facility	26	$7.24	$10.96	$27.54
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $19.50 / $61.66 / $398.11	Facility	TC	$19.50	$61.66	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $37.15 / $104.71	Professional		$22.39	$37.15	$104.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $11.22 / $33.11	Professional	26	$7.08	$11.22	$33.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $22.39 / $57.54	Professional	TC	$15.14	$22.39	$57.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $64.57 / $323.59	Facility		$25.70	$64.57	$323.59
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $9.33 / $9.33	Facility	26	$9.33	$9.33	$9.33
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $23.99 / $23.99 / $23.99	Facility	TC	$23.99	$23.99	$23.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $34.67 / $74.13	Professional		$23.44	$34.67	$74.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $10.96 / $19.50	Professional	26	$7.24	$10.96	$19.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $23.44 / $48.98	Professional	TC	$16.22	$23.44	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $79.43 / $338.84	Facility		$30.90	$79.43	$338.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.04 / $10.96 / $26.30	Facility	26	$2.04	$10.96	$26.30
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $4.57 / $24.55 / $64.57	Facility	TC	$4.57	$24.55	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $38.02 / $75.86	Professional		$22.91	$38.02	$75.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $12.02 / $22.91	Professional	26	$7.08	$12.02	$22.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $26.92 / $54.95	Professional	TC	$15.85	$26.92	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $134.90 / $302.00	Facility		$19.05	$134.90	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.20 / $57.54	Professional		$22.91	$30.20	$57.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $9.33 / $17.78	Professional	26	$7.24	$9.33	$17.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $20.89 / $39.81	Professional	TC	$15.49	$20.89	$39.81