Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $208.93 / $501.19	Facility		$43.65	$208.93	$501.19
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.92 / $10.47 / $24.55	Facility	26	$6.92	$10.47	$24.55
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $23.44 / $72.44 / $354.81	Facility	TC	$23.44	$72.44	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $33.11 / $91.20	Professional		$11.22	$33.11	$91.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $11.75 / $37.15	Professional	26	$7.08	$11.75	$37.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $26.30 / $63.10	Professional	TC	$18.20	$26.30	$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 $8.91 / $8.91 / $8.91	Facility	26	$8.91	$8.91	$8.91
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $21.38 / $21.38 / $21.38	Facility	TC	$21.38	$21.38	$21.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $35.48 / $66.07	Professional		$26.92	$35.48	$66.07
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $10.72 / $18.62	Professional	26	$6.76	$10.72	$18.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $25.70 / $48.98	Professional	TC	$18.62	$25.70	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $72.44 / $239.88	Facility		$28.84	$72.44	$239.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $1.86 / $10.00 / $23.99	Facility	26	$1.86	$10.00	$23.99
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 $24.55 / $40.74 / $83.18	Professional		$24.55	$40.74	$83.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $11.22 / $21.88	Professional	26	$6.61	$11.22	$21.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $30.20 / $64.57	Professional	TC	$18.20	$30.20	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $104.71 / $251.19	Facility		$21.88	$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 $6.92 / $9.12 / $16.98	Professional	26	$6.92	$9.12	$16.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $23.44 / $45.71	Professional	TC	$17.78	$23.44	$45.71