Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.07 / $48.00 / $128.87	Facility		$10.07	$48.00	$128.87
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.48 / $10.03 / $17.38	Facility	26	$7.48	$10.03	$17.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $13.26 / $30.26	Professional		$10.29	$13.26	$30.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.97 / $8.83 / $16.30	Professional	26	$6.97	$8.83	$16.30
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $11.36 / $11.36 / $11.36	Professional	50	$11.36	$11.36	$11.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.15 / $4.13 / $6.50	Professional	TC	$3.15	$4.13	$6.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.77 / $42.84 / $216.34	Facility		$12.77	$42.84	$216.34
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $10.40 / $10.40 / $10.40	Facility	26	$10.40	$10.40	$10.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.75 / $15.53 / $23.13	Professional		$10.75	$15.53	$23.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.66 / $10.76 / $16.28	Professional	26	$7.66	$10.76	$16.28
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $15.59 / $21.49 / $32.49	Professional	50	$15.59	$21.49	$32.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.30 / $4.78 / $7.25	Professional	TC	$3.30	$4.78	$7.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.40 / $30.09 / $70.28	Facility		$11.40	$30.09	$70.28
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.76 / $8.76 / $8.76	Facility	26	$8.76	$8.76	$8.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $16.52 / $28.82	Professional		$10.79	$16.52	$28.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.27 / $11.37 / $19.35	Professional	26	$7.27	$11.37	$19.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.00 / $5.35 / $9.65	Professional	TC	$3.00	$5.35	$9.65
United Facility/Professional Facility Modifier Low / Median / High Price $38.09 / $48.07 / $72.79	Facility		$38.09	$48.07	$72.79
United Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $13.94 / $24.52	Professional		$11.04	$13.94	$24.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.79 / $9.66 / $16.60	Professional	26	$7.79	$9.66	$16.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.31 / $4.37 / $7.92	Professional	TC	$3.31	$4.37	$7.92