Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.26 / $25.69 / $110.12	Facility		$7.26	$25.69	$110.12
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.78 / $12.27 / $15.07	Facility	26	$11.78	$12.27	$15.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.42 / $13.26 / $24.32	Professional		$9.42	$13.26	$24.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.57 / $9.49 / $13.40	Professional	26	$6.57	$9.49	$13.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $2.72 / $4.09 / $6.37	Professional	TC	$2.72	$4.09	$6.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.07 / $22.07 / $24.01	Facility		$22.07	$22.07	$24.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.99 / $15.87 / $17.63	Professional		$11.99	$15.87	$17.63
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.93 / $10.49 / $11.66	Professional	26	$7.93	$10.49	$11.66
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $4.05 / $5.37 / $5.97	Professional	TC	$4.05	$5.37	$5.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.45 / $8.48 / $13.81	Facility		$3.45	$8.48	$13.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $7.78 / $14.42	Professional		$3.16	$7.78	$14.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.34 / $19.53 / $39.18	Facility		$4.34	$19.53	$39.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.72 / $17.37 / $22.02	Professional		$9.72	$17.37	$22.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.74 / $12.08 / $15.77	Professional	26	$6.74	$12.08	$15.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.69 / $5.13 / $7.17	Professional	TC	$2.69	$5.13	$7.17
United Facility/Professional Facility Modifier Low / Median / High Price $25.27 / $38.64 / $73.06	Facility		$25.27	$38.64	$73.06
United Facility/Professional Professional Modifier Low / Median / High Price $11.01 / $13.52 / $21.98	Professional		$11.01	$13.52	$21.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.47 / $9.75 / $15.45	Professional	26	$7.47	$9.75	$15.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.26 / $4.16 / $7.18	Professional	TC	$3.26	$4.16	$7.18