Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $190.55 / $446.68	Facility		$44.67	$190.55	$446.68
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.41 / $10.96 / $29.51	Facility	26	$7.41	$10.96	$29.51
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $20.89 / $89.13 / $371.54	Facility	TC	$20.89	$89.13	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $41.69 / $112.20	Professional		$23.99	$41.69	$112.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $11.75 / $38.90	Professional	26	$7.94	$11.75	$38.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $25.12 / $57.54	Professional	TC	$16.22	$25.12	$57.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $69.18 / $269.15	Facility		$23.99	$69.18	$269.15
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $9.55 / $9.55 / $9.55	Facility	26	$9.55	$9.55	$9.55
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $19.05 / $19.05 / $19.05	Facility	TC	$19.05	$19.05	$19.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $33.11 / $66.07	Professional		$20.42	$33.11	$66.07
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.75 / $10.96 / $20.89	Professional	26	$5.75	$10.96	$20.89
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.79 / $22.39 / $45.71	Professional	TC	$14.79	$22.39	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $75.86 / $269.15	Facility		$28.84	$75.86	$269.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.14 / $11.22 / $27.54	Facility	26	$2.14	$11.22	$27.54
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $5.01 / $26.30 / $72.44	Facility	TC	$5.01	$26.30	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $38.02 / $75.86	Professional		$22.91	$38.02	$75.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $12.30 / $23.99	Professional	26	$7.24	$12.30	$23.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $26.30 / $56.23	Professional	TC	$15.85	$26.30	$56.23
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $104.71 / $251.19	Facility		$19.05	$104.71	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.20 / $57.54	Professional		$22.91	$30.20	$57.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $9.77 / $18.20	Professional	26	$7.59	$9.77	$18.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $20.42 / $39.81	Professional	TC	$15.49	$20.42	$39.81