Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $107.15 / $416.87	Facility		$54.95	$107.15	$416.87
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.20 / $33.11 / $89.13	Facility	26	$18.20	$33.11	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $69.18 / $190.55	Professional		$44.67	$69.18	$190.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $33.88 / $138.04	Professional	26	$16.98	$33.88	$138.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $45.71 / $93.33	Professional	TC	$30.20	$45.71	$93.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $66.07 / $66.07	Facility		$32.36	$66.07	$66.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $51.29 / $151.36	Professional		$28.18	$51.29	$151.36
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $26.30 / $58.88	Professional	26	$9.55	$26.30	$58.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $7.94 / $22.91 / $91.20	Professional	TC	$7.94	$22.91	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $128.82 / $524.81	Facility		$33.88	$128.82	$524.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $33.11 / $56.23	Facility	26	$7.08	$33.11	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $61.66 / $131.83	Professional		$31.62	$61.66	$131.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $22.39 / $48.98	Professional	26	$10.72	$22.39	$48.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $35.48 / $87.10	Professional	TC	$19.05	$35.48	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $30.20 / $51.29	Facility		$10.47	$30.20	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $60.26 / $128.82	Professional		$36.31	$60.26	$128.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $22.39 / $47.86	Professional	26	$12.88	$22.39	$47.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $37.15 / $81.28	Professional	TC	$22.91	$37.15	$81.28