Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.09 / $183.90 / $812.13	Facility		$41.09	$183.90	$812.13
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.20 / $16.98 / $29.05	Facility	26	$13.20	$16.98	$29.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.91 / $36.79 / $68.62	Professional		$30.91	$36.79	$68.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $14.83 / $53.03	Professional	26	$12.30	$14.83	$53.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.89 / $22.31 / $43.20	Professional	TC	$17.89	$22.31	$43.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.76 / $114.58 / $182.92	Facility		$42.76	$114.58	$182.92
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $15.32 / $15.32 / $15.32	Facility	26	$15.32	$15.32	$15.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.43 / $43.02 / $70.89	Professional		$31.43	$43.02	$70.89
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.27 / $17.69 / $27.20	Professional	26	$13.27	$17.69	$27.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.11 / $26.81 / $43.79	Professional	TC	$17.11	$26.81	$43.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.87 / $44.22 / $81.38	Facility		$42.87	$44.22	$81.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.88 / $15.88 / $15.88	Facility	26	$15.88	$15.88	$15.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.19 / $46.73 / $80.77	Professional		$31.19	$46.73	$80.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.34 / $19.23 / $30.74	Professional	26	$12.34	$19.23	$30.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.85 / $27.52 / $48.68	Professional	TC	$17.85	$27.52	$48.68
United Facility/Professional Facility Modifier Low / Median / High Price $97.22 / $97.22 / $97.22	Facility		$97.22	$97.22	$97.22
United Facility/Professional Professional Modifier Low / Median / High Price $32.65 / $39.85 / $70.56	Professional		$32.65	$39.85	$70.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.77 / $16.69 / $27.89	Professional	26	$13.77	$16.69	$27.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.05 / $23.29 / $42.75	Professional	TC	$18.05	$23.29	$42.75