Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.94 / $227.34 / $553.96	Facility		$35.94	$227.34	$553.96
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.17 / $10.70 / $16.82	Facility	26	$8.17	$10.70	$16.82
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $21.10 / $52.07 / $369.71	Facility	TC	$21.10	$52.07	$369.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.22 / $29.78 / $65.17	Professional		$24.22	$29.78	$65.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.50 / $9.15 / $28.19	Professional	26	$7.50	$9.15	$28.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.35 / $19.62 / $41.83	Professional	TC	$16.35	$19.62	$41.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.97 / $101.63 / $152.36	Facility		$53.97	$101.63	$152.36
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $9.30 / $9.30 / $9.30	Facility	26	$9.30	$9.30	$9.30
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $24.08 / $24.08 / $24.08	Facility	TC	$24.08	$24.08	$24.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $36.57 / $55.29	Professional		$25.76	$36.57	$55.29
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.09 / $11.40 / $16.86	Professional	26	$8.09	$11.40	$16.86
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.55 / $24.26 / $38.84	Professional	TC	$17.55	$24.26	$38.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.76 / $92.19 / $249.80	Facility		$36.76	$92.19	$249.80
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.61 / $9.61 / $9.61	Facility	26	$9.61	$9.61	$9.61
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $22.00 / $22.00 / $22.00	Facility	TC	$22.00	$22.00	$22.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.68 / $38.09 / $65.06	Professional		$24.68	$38.09	$65.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.61 / $12.00 / $19.30	Professional	26	$7.61	$12.00	$19.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.75 / $26.35 / $44.26	Professional	TC	$16.75	$26.35	$44.26
United Facility/Professional Facility Modifier Low / Median / High Price $142.16 / $198.54 / $356.15	Facility		$142.16	$198.54	$356.15
United Facility/Professional Professional Modifier Low / Median / High Price $25.61 / $32.53 / $55.97	Professional		$25.61	$32.53	$55.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.09 / $10.34 / $17.54	Professional	26	$8.09	$10.34	$17.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.00 / $22.62 / $39.70	Professional	TC	$17.00	$22.62	$39.70