Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $181.97 / $457.09	Facility		$38.90	$181.97	$457.09
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 $23.44 / $64.57 / $331.13	Facility	TC	$23.44	$64.57	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $43.65 / $123.03	Professional		$25.70	$43.65	$123.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $12.59 / $31.62	Professional	26	$7.08	$12.59	$31.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $26.92 / $63.10	Professional	TC	$18.20	$26.92	$63.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $79.43 / $269.15	Facility		$26.30	$79.43	$269.15
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 $19.95 / $19.95 / $19.95	Facility	TC	$19.95	$19.95	$19.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $36.31 / $66.07	Professional		$27.54	$36.31	$66.07
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $10.96 / $19.05	Professional	26	$7.41	$10.96	$19.05
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $25.70 / $48.98	Professional	TC	$19.05	$25.70	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $85.11 / $269.15	Facility		$35.48	$85.11	$269.15
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 $5.62 / $30.20 / $81.28	Facility	TC	$5.62	$30.20	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $41.69 / $81.28	Professional		$25.12	$41.69	$81.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $11.75 / $22.91	Professional	26	$6.92	$11.75	$22.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $29.51 / $64.57	Professional	TC	$17.78	$29.51	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $104.71 / $251.19	Facility		$22.39	$104.71	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $32.36 / $61.66	Professional		$24.55	$32.36	$61.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $9.33 / $17.78	Professional	26	$7.08	$9.33	$17.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $22.91 / $44.67	Professional	TC	$17.38	$22.91	$44.67