Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.22 / $49.22 / $49.22	Facility	26	$49.22	$49.22	$49.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.62 / $13.73 / $18.51	Professional		$11.62	$13.73	$18.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.39 / $8.83 / $9.27	Professional	26	$7.39	$8.83	$9.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.89 / $4.44 / $4.45	Professional	TC	$3.89	$4.44	$4.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.79 / $53.30 / $65.77	Facility		$38.79	$53.30	$65.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.94 / $14.05 / $29.98	Professional		$11.94	$14.05	$29.98
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.65 / $9.50 / $18.48	Professional	26	$6.65	$9.50	$18.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.19 / $4.46 / $4.55	Professional	TC	$3.19	$4.46	$4.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.48 / $82.18 / $144.47	Facility		$17.48	$82.18	$144.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $16.98 / $25.16	Professional		$12.89	$16.98	$25.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.95 / $11.50 / $17.59	Professional	26	$7.95	$11.50	$17.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.51 / $5.57 / $8.93	Professional	TC	$3.51	$5.57	$8.93
United Facility/Professional Facility Modifier Low / Median / High Price $51.39 / $51.39 / $51.39	Facility		$51.39	$51.39	$51.39
United Facility/Professional Professional Modifier Low / Median / High Price $10.45 / $15.24 / $22.57	Professional		$10.45	$15.24	$22.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.83 / $10.27 / $14.98	Professional	26	$7.83	$10.27	$14.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $2.61 / $4.97 / $7.48	Professional	TC	$2.61	$4.97	$7.48