Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.87 / $210.00 / $404.54	Facility		$45.87	$210.00	$404.54
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.41 / $10.34 / $16.22	Facility	26	$8.41	$10.34	$16.22
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $22.52 / $115.34 / $334.62	Facility	TC	$22.52	$115.34	$334.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.69 / $31.28 / $90.13	Professional		$24.69	$31.28	$90.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $9.38 / $35.04	Professional	26	$7.94	$9.38	$35.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $20.04 / $43.79	Professional	TC	$16.60	$20.04	$43.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.18 / $102.90 / $165.04	Facility		$54.18	$102.90	$165.04
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $9.57 / $9.57 / $9.57	Facility	26	$9.57	$9.57	$9.57
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $18.86 / $18.86 / $18.86	Facility	TC	$18.86	$18.86	$18.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.96 / $33.97 / $59.14	Professional		$24.96	$33.97	$59.14
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.41 / $11.14 / $17.54	Professional	26	$8.41	$11.14	$17.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.77 / $24.23 / $42.15	Professional	TC	$16.77	$24.23	$42.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.55 / $106.33 / $199.12	Facility		$41.55	$106.33	$199.12
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.01 / $10.01 / $10.01	Facility	26	$10.01	$10.01	$10.01
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $24.24 / $24.24 / $24.24	Facility	TC	$24.24	$24.24	$24.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.42 / $37.36 / $62.37	Professional		$25.42	$37.36	$62.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.89 / $12.41 / $20.30	Professional	26	$7.89	$12.41	$20.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.34 / $25.51 / $44.01	Professional	TC	$17.34	$25.51	$44.01
United Facility/Professional Facility Modifier Low / Median / High Price $34.84 / $34.84 / $34.84	Facility		$34.84	$34.84	$34.84
United Facility/Professional Professional Modifier Low / Median / High Price $25.74 / $32.56 / $55.83	Professional		$25.74	$32.56	$55.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.61 / $11.04 / $21.81	Professional	26	$8.61	$11.04	$21.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.22 / $21.58 / $38.90	Professional	TC	$17.22	$21.58	$38.90