Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.52 / $167.35 / $403.78	Facility		$36.52	$167.35	$403.78
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.08 / $10.34 / $15.55	Facility	26	$8.08	$10.34	$15.55
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $24.46 / $53.03 / $258.04	Facility	TC	$24.46	$53.03	$258.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.46 / $32.83 / $80.02	Professional		$26.46	$32.83	$80.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $8.59 / $21.62	Professional	26	$7.33	$8.59	$21.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.14 / $23.45 / $47.28	Professional	TC	$19.14	$23.45	$47.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $112.61 / $184.81	Facility		$59.40	$112.61	$184.81
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 $20.05 / $20.05 / $20.05	Facility	TC	$20.05	$20.05	$20.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.53 / $36.59 / $60.03	Professional		$28.53	$36.59	$60.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.09 / $11.39 / $16.89	Professional	26	$8.09	$11.39	$16.89
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.25 / $27.21 / $43.61	Professional	TC	$20.25	$27.21	$43.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.53 / $98.48 / $209.10	Facility		$42.53	$98.48	$209.10
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 $27.22 / $27.22 / $27.22	Facility	TC	$27.22	$27.22	$27.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.45 / $40.76 / $68.72	Professional		$27.45	$40.76	$68.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $11.92 / $19.45	Professional	26	$7.59	$11.92	$19.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.48 / $28.51 / $49.88	Professional	TC	$19.48	$28.51	$49.88
United Facility/Professional Facility Modifier Low / Median / High Price $78.62 / $150.42 / $150.42	Facility		$78.62	$150.42	$150.42
United Facility/Professional Professional Modifier Low / Median / High Price $27.88 / $35.00 / $60.72	Professional		$27.88	$35.00	$60.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.08 / $10.18 / $17.96	Professional	26	$8.08	$10.18	$17.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.39 / $25.14 / $43.20	Professional	TC	$19.39	$25.14	$43.20