Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.41 / $198.21 / $436.30	Facility		$45.41	$198.21	$436.30
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.58 / $10.06 / $14.34	Facility	26	$7.58	$10.06	$14.34
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $24.94 / $67.76 / $310.54	Facility	TC	$24.94	$67.76	$310.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.69 / $31.55 / $73.13	Professional		$20.69	$31.55	$73.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.12 / $8.94 / $30.26	Professional	26	$7.12	$8.94	$30.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.82 / $23.23 / $45.59	Professional	TC	$18.82	$23.23	$45.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.95 / $110.76 / $181.58	Facility		$55.95	$110.76	$181.58
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $8.94 / $8.94 / $8.94	Facility	26	$8.94	$8.94	$8.94
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $21.52 / $21.52 / $21.52	Facility	TC	$21.52	$21.52	$21.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.98 / $35.84 / $59.03	Professional		$27.98	$35.84	$59.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $10.82 / $15.99	Professional	26	$7.59	$10.82	$15.99
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.40 / $27.21 / $44.03	Professional	TC	$20.40	$27.21	$44.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.74 / $98.22 / $209.10	Facility		$42.74	$98.22	$209.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.86 / $8.86 / $8.86	Facility	26	$8.86	$8.86	$8.86
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 / $40.84 / $68.29	Professional		$27.45	$40.84	$68.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.38 / $11.47 / $18.69	Professional	26	$7.38	$11.47	$18.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.14 / $28.49 / $50.48	Professional	TC	$19.14	$28.49	$50.48
United Facility/Professional Facility Modifier Low / Median / High Price $108.16 / $162.23 / $274.46	Facility		$108.16	$162.23	$274.46
United Facility/Professional Professional Modifier Low / Median / High Price $28.03 / $34.94 / $60.34	Professional		$28.03	$34.94	$60.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.92 / $9.88 / $17.30	Professional	26	$7.92	$9.88	$17.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.71 / $25.10 / $43.52	Professional	TC	$19.71	$25.10	$43.52