Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $190.55 / $912.01	Facility		$44.67	$190.55	$912.01
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $19.95 / $54.95	Facility	26	$12.02	$19.95	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $38.90 / $95.50	Professional		$27.54	$38.90	$95.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $18.62 / $64.57	Professional	26	$10.96	$18.62	$64.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $23.99 / $50.12	Professional	TC	$16.98	$23.99	$50.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $69.18 / $213.80	Facility		$19.95	$69.18	$213.80
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $15.49 / $15.49 / $15.49	Facility	26	$15.49	$15.49	$15.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $41.69 / $74.13	Professional		$31.62	$41.69	$74.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $17.78 / $30.90	Professional	26	$12.88	$17.78	$30.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $25.12 / $45.71	Professional	TC	$16.98	$25.12	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $89.13 / $338.84	Facility		$43.65	$89.13	$338.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.31 / $17.38 / $42.66	Facility	26	$3.31	$17.38	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $46.77 / $95.50	Professional		$28.84	$46.77	$95.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $19.50 / $37.15	Professional	26	$11.48	$19.50	$37.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $27.54 / $61.66	Professional	TC	$16.98	$27.54	$61.66
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $19.50 / $38.02	Facility		$12.30	$19.50	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.02 / $70.79	Professional		$28.84	$38.02	$70.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $15.85 / $28.18	Professional	26	$11.75	$15.85	$28.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $22.39 / $42.66	Professional	TC	$16.22	$22.39	$42.66