Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.58 / $43.02 / $116.31	Facility		$4.58	$43.02	$116.31
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.29 / $10.29 / $10.29	Facility	26	$10.29	$10.29	$10.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.84 / $12.15 / $20.07	Professional		$8.84	$12.15	$20.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.20 / $8.25 / $10.80	Professional	26	$5.20	$8.25	$10.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $2.46 / $3.89 / $4.80	Professional	TC	$2.46	$3.89	$4.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.42 / $92.51 / $124.46	Facility		$76.42	$92.51	$124.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $14.48 / $17.09	Professional		$10.57	$14.48	$17.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.94 / $9.50 / $11.21	Professional	26	$6.94	$9.50	$11.21
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.64 / $4.98 / $5.88	Professional	TC	$3.64	$4.98	$5.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.40 / $36.92 / $63.73	Facility		$8.40	$36.92	$63.73
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.73 / $9.73 / $9.73	Facility	26	$9.73	$9.73	$9.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $16.23 / $38.04	Professional		$9.07	$16.23	$38.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.18 / $10.88 / $28.40	Professional	26	$6.18	$10.88	$28.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.85 / $5.35 / $15.59	Professional	TC	$2.85	$5.35	$15.59
United Facility/Professional Facility Modifier Low / Median / High Price $25.55 / $27.74 / $37.90	Facility		$25.55	$27.74	$37.90
United Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $11.34 / $16.96	Professional		$9.19	$11.34	$16.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.23 / $7.87 / $12.13	Professional	26	$6.23	$7.87	$12.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $2.58 / $3.52 / $4.76	Professional	TC	$2.58	$3.52	$4.76